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

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Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You facilitate team members working well together.
You motivate and inspires high performance by team members.
I am effective in resolving conflicts to mutual satisfaction of the parties.
You determine appropriate staffing levels for the job.
You treat all staff equitably.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You conduct appointments at scheduled start time.
You maintain an efficient schedule of activities.
You avoid making personal phone calls during working hours.
You arrive to meetings on time.
You start the workday when scheduled.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You encourage a work environment where individual differences are valued.
I am responsive to individuals from other cultures.
You understand the impact that your culture may have on interactions between individuals.
You recognize and value individual and cultural differences.
You acknowledge your own biases in cultural interactions.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I coordinate with legal counsel investigating any instances of misconduct.
I submit complete applications for necessary certifications.
I identify and assess areas of regulatory or compliance risk.
You create a standardized response protocol for responding to compliance related issues.
You keep up-to-date with legislation affecting employees.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand the "basics" as to how [Company] functions/operates.
You impress upon others the important aspects of [Company].
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 follow existing procedures and processes.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You monitor spending.
You keep excellent records for financial transparency.
You monitor expenses and verify the need for items purchased.
You are effective in using company's resources.
You ensure others follow the correct rules and regulations on fiscal matters.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand global systems such as the global economy.
You create an environment where individual differences are valued and supported.
You develop both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
You demonstrate working knowledge of global transactions.
You accept setbacks and challenges in foreign markets as improvement opportunities

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.