Supervisory Skills - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Supervisory Skills

What does Supervisory Skills mean?
It means that ...
  • You encourage employees to achieve your full potential.
  • You promote teamwork and cooperation within the department.
  • You resolve personnel problems quickly and effectively.
  • You maintain good working relationships with employees.
  • You provide constructive, ongoing feedback.

To what extent does this person exhibit Supervisory Skills?
Select from one of the ratings below.


What does Action mean?
It means that ...
  • You drive and mobilizes others progress toward goals.
  • You are not afraid to take corrective action when necessary.
  • You motivate & supports others to gain skills
  • You make effective decisions, even when under pressure.
  • You do whatever it takes (within reason) to get the job done.

To what extent does this person exhibit Action?
Select from one of the ratings below.


What does Feedback mean?
It means that ...
  • You consider other's opinion and suggestions.
  • You seek feedback to enhance performance.
  • You actively seek feedback from others.
  • You look to others for input.
  • You accept the views of others.

To what extent does this person exhibit Feedback?
Select from one of the ratings below.


What does Punctuality mean?
It means that ...
  • You maintain an efficient schedule of activities.
  • You conduct appointments at scheduled start time.
  • You arrive to meetings on time.
  • You respond to requests for information in a timely manner.
  • You avoid making personal phone calls during working hours.

To what extent does this person exhibit Punctuality?
Select from one of the ratings below.

Time Management

What does Time Management mean?
It means that ...
  • You complete high-priority work within required timelines.
  • You make time for developing plans and schedules.
  • You do not become flustered by deadlines and timelines.
  • You set clearly defined goals.
  • You set a good balance between work and family life.

To what extent does this person exhibit Time Management?
Select from one of the ratings below.

Areas for Development

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