Continual Learning - 360 Degree Feedback Survey Sample #1





360-Degree Feedback 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)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Continual Learning, Continual Improvement, Communication Skills, Leadership, Persuasion and Influence, Decision Making, Commitment To Result, Interpersonal Skills, Developing Others, Global Perspective
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Builds on their strengths while addressing their weaknesses.
  1. Shares best practices with others and learns from others.
  1. Improves on their skill sets.
  1. Takes the initiative to learn new skills.
  1. Participates in regular training offered.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Continual Improvement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Looks for ways to improve work processes and procedures.
  1. Open to the suggestions from others.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Analyzes processes to determine areas for improvement.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
If [Participant Name] were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?

Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Sets their on-line status to "available" to indicate they are available for communication.
  1. Communicates goals of project, resources required, resources available, etc. to the team
  1. Willing to communicate issues and concerns to colleagues.
  1. Addresses issues of key importance to stakeholders.
  1. Open to receiving feedback from others.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Able to align manpower, design work, an allocate tasks to achieve goals.
  1. Motivates and challenges employees to attain a shared vision.
  1. Guides decision-making by coaching, counseling and rewarding.
  1. Able to organize the work of others.
  1. Sits down regularly with employees to review their job performance.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Persuasion and Influence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops a good rapport with others.
  1. Seeks to obtain consensus or compromise.
  1. Persuades others to consider alternative points of view.
  1. Understanding what others need.
  1. Ensures stakeholders are involved in the decision making process.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Decides which long-term goals should be met.
  1. Has enough self-control to avoid making impulsive decisions.
  1. Open to the suggestions from subordinates.
  1. Is aware of the impact of decisions and informs others about potential outcomes.
  1. Evaluates information before making a final decision.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Commitment To Result

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Committed to the team.
  1. Coordinates all department activities into a cohesive team effort.
  1. Encourages commitment in others to obtain results.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Adapts management style to meet the needs of the individual or situation.
  1. Uses tact, compassion, and sensitivity in interactions with others.
  1. Is willing to lend a hand to those in the department who need help.
  1. Offers praise to colleagues who have successfully completed major projects.
  1. Understands the core issues of conversations.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Developing Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Recognizes and celebrates accomplishments of others.
  1. Provides constructive feedback to others.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Tries to ensure employees are ready to move to the next level.
  1. Is open to receiving feedback.
If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?

Global Perspective

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Has positive interactions with individuals from different cultures and backgrounds.
  1. Volunteers for experiences and assignments abroad.
  1. Forms strong client relationships with international partners.
  1. Demonstrates working knowledge of global transactions.
  1. Attends training seminars and conferences to increase skills in working with others globally.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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