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HR-Survey > 360-Degree Feedback > Competency Model > Professional Development

Professional Development - 360 Degree Feedback Survey

Sample #13

November 2, 2025

Instructions
Questionnaires Measuring Professional
You have been selected to provide valuable feedback for the Development:
manager listed above. Your insights are an important part of Survey 1 (4-point scale; Competency Comments)
[Participant]'s leadership development process. This tool is designed Survey 2 (4-point scale; Competency Comments)
to gather broad and comprehensive feedback on the core Survey 3 (5-point scale; Competency Comments)
competencies and role responsibilities that are crucial for the Survey 4 (5-point scale; radio buttons)
continuous success of our organization. Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
When responding to the assessment form, please consider your Survey 7 (5-point scale; competency comments; N/A)
experiences working with this individual over the past six to twelve Survey 8 (3-point scale; Agree/Disagree words; N/A)
months. Reflect on specific instances, interactions, and overall Survey 9 (3-point scale; Strength/Development; N/A)
performance that you have observed. Your responses will be Survey 10 (Comment boxes only)
combined with feedback from other colleagues to create a holistic Survey 11 (Single rating per competency)
view of the manager's strengths and areas for improvement. This Survey 12 (Slide-bar scale)
collective feedback will be used to guide their ongoing professional Survey 13 (4-point scale; numbers; floating anchors)
development. Survey 14 (4-point scale; N/A)

Please be candid and constructive in your comments, as they will be

shared anonymously with the manager. Your feedback will be instrumental in helping them understand their impact on the team and
the organization, and in identifying opportunities for growth. We appreciate your time and effort in contributing to this important
process.

Method of use: As part of the review process, managers will receive

feedback from peers and staff. It is recognized that not all Sample Result Document:
participants will be able to assess an individual's performance in all Sample Results
areas. The feedback received will be utilized as input to the
manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later
to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's Competencies Included:
actual behaviors to the scale provided. Professional Development, Communication Skills,
Performance, Problem Solving, Safety, Collaboration,
If you are not sure, or unable to assess, select "Not Applicable" Entrepreneurship
(N/A) option.

Please complete your response by November 16.

Strongly Strongly
Professional Development Disagree Disagree Agree Agree

1. Contributing fully to the extent of their skills 1 2 3 4

2. Demonstrate enthusiasm and a willingness to learn

new skills and knowledge 1 2 3 4
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 3. Keep themselves up-to-date of
technical/professional issues 1 2 3 4

4. Quickly acquire and apply new knowledge and skills

when needed 1 2 3 4

5. Allows employees to fully participate in employee

training and professional development. 1 2 3 4

6. Seeks opportunities for continuous learning. 1 2 3 4

7. Seeks opportunities for professional development. 1 2 3 4

8. Encourages employees to take courses relevant to

their job. 1 2 3 4

Strongly Strongly
Communication Skills Disagree Disagree Agree Agree

9. Summarizes or paraphrases the current question to

confirm understanding. 1 2 3 4

10. Receives and answers questions - on the spot. S/he

has a willingness to address the tough questions. 1 2 3 4

11. Maintains eye contact to foster direct

communication. 1 2 3 4

12. Willing to accept feedback from others. 1 2 3 4

13. Speaks clearly, fluently, and in a compelling manner

to both individuals and groups. 1 2 3 4

Strongly Strongly
Performance Disagree Disagree Agree Agree

14. Sets a high standard for job performance. 1 2 3 4

15. Able to organize work. 1 2 3 4

16. Has great overall performance 1 2 3 4

17. Listens and responds to issues and problems 1 2 3 4

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 18. Effective in performing his/her job. 1 2 3 4

Strongly Strongly
Problem Solving Disagree Disagree Agree Agree

19. Solves problems that have difficult or conflicting

constraints. 1 2 3 4

20. Engages employees in the decision-making process

to ensure their support before introducing a 1 2 3 4
solution to a major problem.

21. Able to solve problems with multiple criteria that

need to be met. 1 2 3 4

22. Implements effective solutions to critical problems. 1 2 3 4

23. Compares analogous situations transferring insights

to new situations. 1 2 3 4

Strongly Strongly
Safety Disagree Disagree Agree Agree

24. Supports our company's safety programs. 1 2 3 4

25. Ensures that all supervisors are aware of regulatory

and compliance measures. 1 2 3 4

26. Commits adequate resources toward safety

measures. 1 2 3 4

27. Seeks to reduce the likelihood of accidents. 1 2 3 4

28. Committed to safety in the workplace. 1 2 3 4

Strongly Strongly
Collaboration Disagree Disagree Agree Agree

29. Defines shared goals with the committee members. 1 2 3 4

30. Readily shares information with other group

members. 1 2 3 4

31. Has the confidence and trust of other partners. 1 2 3 4

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 32. Works with others to resolve issues facing the
company. 1 2 3 4

33. Addresses interpersonal issues with a collaborative

mindset. 1 2 3 4

Strongly Strongly
Entrepreneurship Disagree Disagree Agree Agree

34. Able to adapt the department to changing business

demands and climate. 1 2 3 4

35. Devotes a certain amount of time and effort to

developing new business opportunities. 1 2 3 4

36. Encourages dynamic growth opportunities. 1 2 3 4

37. Excellent at managing relationships with

stakeholders. 1 2 3 4

38. Balances risks and rewards when making decisions. 1 2 3 4

39. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing
his/her current responsibilities.

40. Describe the most important things this person could improve upon in order to increase his/her overall
effectiveness in performing his/her current responsibilities.

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

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

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

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