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Continual Learning - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Continual Learning:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Dear Employee:

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 Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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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Continual Improvement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Analyzes processes to determine areas for improvement.
  1. Promotes training and development opportunities to enhance job performance.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand current job responsibilities.


Professional Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Seeks opportunities for continuous learning.
  1. Allows employees to fully participate in employee training and professional development.
  1. Seeks opportunities for professional development.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Contributing fully to the extent of their skills


Initiative

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Takes action without being asked.
  1. Will continue to work on a problem even in the face of obstacles.
  1. Prepares for unexpected contingencies.
  1. Is a self-starter. Does not wait to be told to do something.
  1. Capitalizes on opportunities as they become available.


Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Willingly shares information and expertise; sought out as resource by others


Managing Risk

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Determines the proper tools to efficiently manage the risk.
  1. Prioritizes risks to act on critical issues first.
  1. Works effectively to avoid risk.
  1. Maintains open communication with other departments.
  1. Conducts internal audit of risk assessments.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Effective team player
  1. Creates a culture that fosters and values collaboration.
  1. Coaches team members
  1. Listens and is attentive to other team members.
  1. Establishes good rapport with team members.



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






  2. Strengths


  3. Areas for Development


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