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Supervisory Skills - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Supervisory Skills:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Dear Employee:

Thank you for participating in a 360-degree feedback assessment. In this process, you will complete a self-assessment questionnaire (below). You will also receive feedback from others including your manager, peers and direct reports. As you respond, please respond using just your experiences in the past 12 months. Rate each item using the scale shown. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to you at the conclusion of this assessment to help guide your ongoing professional development.

Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



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Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. I coach subordinates in how to make good decisions.
  1. You maintain good working relationships with employees.
  1. I am fair and equitable in enforcement of work rules.
  1. You encourage employees to take responsibility for their mistakes.
  1. I maintain professional interactions with peers, customers, and employees.


Punctuality

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You conduct appointments at scheduled start time.
  1. You start meetings on time.
  1. You start the workday when scheduled.
  1. You arrive to meetings on time.
  1. You maintain an efficient schedule of activities.


Cultural Awareness

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You support and mentor others that may have different cultural backgrounds.
  1. I am willing to include individuals with different cultural backgrounds on the team.
  1. I am responsive to individuals from other cultures.
  1. You engage with individuals that have different cultural backgrounds.
  1. I seek to reduce obstacles in communication that might arise from cultural differences.


Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. I coordinate with legal counsel investigating any instances of misconduct.
  1. I develop and implement a compliance data recordkeeping system.
  1. I establish a governance body to monitor and guide the organization's activities.
  1. I perform annual/monthly compliance audits.
  1. You comply with regulatory requirements for the state.


Company

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You understand the use of [Company] products and services.
  1. You understand how decisions impact other business units beyond your immediate department of work group.
  1. You follow existing procedures and processes.
  1. You attend [Company] gatherings and social events.
  1. You impress upon others the important aspects of [Company].


Fiscal Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You develop of the department's annual budget.
  1. You develop budgets and plans for various programs and initiatives.
  1. You are effective in using company's resources.
  1. You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. You provide budgeting and accounting support to the Company.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You cooperate with others on a global scale.
  1. You understand global systems such as the global economy.
  1. You accept setbacks and challenges in foreign markets as improvement opportunities
  1. You can effectively deliver presentations to international clients.
  1. You engage in problem solving with individuals outside of the country.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.