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 know the best ways to communicate effectively with different types of employees.
I facilitate conversations where each person can be heard.
I assign tasks appropriately.
I have a high degree of multi-cultural competence to supervise individuals of various cultural backgrounds.
I listen to the concerns of employees.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You maintain an efficient schedule of activities.
You arrive to meetings on time.
You respond to requests for information in a timely manner.
You invoice clients on a timely basis.
You start meetings on time.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I view diversity as a strength, not as an issue.
You understand what customs and etiquette are important for individuals from other cultures.
I actively listen to other employees' stories about their culture.
You are open and honest in communications with individuals from other cultures.
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 ensure the company meets legal requirements/standards regarding employees.
You comply with regulatory requirements for the state.
You create and maintain necessary regulatory documentation.
You create documents and reports as needed to maintain compliance with regulations.
You offer training on various subjects to help ensure employees are aware of regulations.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You express loyalty and dedication to [Company] in interactions with others.
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 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 effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You provide budgeting and accounting support to the Company.
You develop budgets and plans for various programs and initiatives.
You develop of the department's annual budget.
You monitor expenses and verify the need for items purchased.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand global systems such as the global economy.
You understand how cultures differ and how these differences impact work behavior.
You exemplify the skills of a global worker.
You demonstrate a curiosity about diverse individuals and cultures.
You set the example for team on importance of cultural awareness.

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.