Supervisory Skills - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

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.

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

Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I conduct regular progress meetings to ensure adherence to the schedule.
You facilitate open communication between employees.
I contribute to a productive work environment for the team.
I assign tasks appropriately.
You are aware of the unique strengths of each employee.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You avoid making personal phone calls during working hours.
You maintain an efficient schedule of activities.
You respond to requests for information in a timely manner.
You conduct appointments at scheduled start time.
You invoice clients on a timely basis.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You show respect in daily interactions
You understand how your own cultural background can impact the way you communicate and interact with others.
You maintain an inclusive work environment that maximizes the talents of others in achieving goals.
You seek out different viewpoints and benefits from different perspectives.
You are aware of the similarities and differences among and between cultural groups.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You maintain a state of readiness to address new and changing regulations and procedures.
You are professional and courteous in interactions with auditors and regulators.
You offer training on various subjects to help ensure employees are aware of regulations.
You maintain historical records and documents as needed/required.
You create documents and reports as needed to maintain compliance with regulations.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand how decisions impact other business units beyond your immediate department of work group.
You understand the "basics" as to how [Company] functions/operates.
You follow existing procedures and processes.
You impress upon others the important aspects of [Company].
You understand the use of [Company] products and services.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You monitor spending.
You ensure others follow the correct rules and regulations on fiscal matters.
You monitor expenses and verify the need for items purchased.
You provide budgeting and accounting support to the Company.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You accept setbacks and challenges in foreign markets as improvement opportunities
You collaborate with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
You analyze global issues/problems that are having a large impact on the Company.
You have positive interactions with individuals from different cultures and backgrounds.
You understand how cultures differ and how these differences impact work behavior.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.