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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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
Edit this Survey
Would you like to edit this survey? Click here to begin.


Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Pursues professional development opportunities when they arise.
  1. Pursues self-improvement through continual learning.
  1. Shares best practices with others and learns from others.
  1. Builds on their strengths while addressing their weaknesses.
  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. Promotes training and development opportunities to enhance job performance.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.
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. Communicates with department leadership
  1. Considers the audience in how the communication is presented.
  1. Transforms complicated ideas into simple ones.
  1. Implements performance appraisals focused on employee development using SMART criteria
  1. Presents their message with professionalism.
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. Sets a high level of performance expectations and challenges others to do the same.
  1. Expresses clear goals and objectives.
  1. Gives direct, constructive, and actionable feedback.
  1. Demonstrates leadership and courage in critical situations.
  1. Able to influence others.
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. Persuades others to consider alternative points of view.
  1. Understanding what others need.
  1. Able to express own goals and needs.
  1. Develops a good rapport with others.
  1. Communicates effectively with others.
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. Formulates imaginative decisions.
  1. Asks for additional information when making critical decisions.
  1. Determines the costs and potential benefits of decisions.
  1. Is able to make decisions quickly.
  1. Views the long and short-term impact of decisions.
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. Encourages commitment in others to obtain results.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Takes immediate action toward goals.
  1. Coordinates all department activities into a cohesive team effort.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
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. Demonstrates good communication with colleagues and customers.
  1. Understands the core issues of conversations.
  1. Values the input from coworkers.
  1. Demonstrates willingness to work with others.
  1. Appreciates the extra efforts made by coworkers.
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. Creates opportunities for professional development.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Assesses employees' developmental needs.
  1. Supports the successes of other employees.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
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. Builds working relationships with others across cultures.
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Is aware of the culture, behaviors, identities and beliefs of others.
  1. Works well with others from different cultural backgrounds.
  1. Able to listen and understand others and discuss issues in a respectful way.
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.