Supervisory Skills - 360 Degree Feedback Survey Sample #10

360 Feedback 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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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.

Supervisory Skills

  • Is aware of the unique strengths of each employee.
  • Treats all staff equitably.
  • Appropriately recognizes and rewards employees.
  • Resolves personnel problems quickly and effectively.
  • Provides constructive, ongoing feedback.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?


  • Produces high quality work.
  • Demonstrates the analytical skills to do their job.
  • Can be counted on to add value wherever they are involved.
  • Is planful and organized.
  • Demonstrates the functional or technical skills necessary to do their job.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?


  • Motivates & supports others to gain skills
  • Does whatever it takes (within reason) to get the job done.
  • Is not afraid to take corrective action when necessary.
  • Works quickly when faced with difficult problems.
  • Effectively makes decisions
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Change Management

  • Addresses organizational and departmental resistance to changes.
  • Adopts changes to set and example for others to follow.
  • Supports the Company's efforts to implement changes.
  • Works cooperatively with others to implement changes.
  • Effective in implementing new organizational vision and values.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?

Co-worker Development

  • Adapts coaching and mentoring approach to meet the style or needs of individuals
  • Gives others development opportunities through project assignments and increased job responsibilities
  • Provides ongoing feedback to co-workers on their development progress
  • Works to identify root causes of performance problems
  • Takes immediate action on poor performance
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

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