Continual Learning - 360 Degree Feedback Survey Sample #2





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

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 and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Continual Learning, Managing Performance, Creativity, Performance, Action, Problem Solving, Change Management, Technology Use/Management, Excellence, Responsible, Coaching, Recognition
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 between . The survey will only be available during these dates.


Continual Learning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Pursues self-improvement through continual learning.
  1. Takes charge of their training and skills enhancement.
  1. Sets relevant learning objectives and goals.
  1. Takes the initiative to learn new skills.
  1. Shares best practices with others and learns from others.
What are your suggestions for how [Participant Name] can make improvements
in Continual Learning?

Managing Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is proactive in administering the rewards program.
  1. Assigns responsibility for meeting specific objectives.
  1. Identifies specific actions to be addressed through the remediation plan.
  1. Ensures that OKRs are aligned with company objectives.
  1. Rewards employees for exceeding goals.
What are your suggestions for how [Participant Name] can make improvements
in Managing Performance?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Adds value to the department/organization.
  1. Is creative.
  1. Develops solutions to challenging problems.
  1. Is creative and inspirational.
  1. Creates a lot of new ideas.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Sets a high standard for job performance.
  1. ...Produce Quality
  1. ...Overall Performance
  1. Listens and responds to issues and problems
  1. Effectively organizes resources and plans
What are your suggestions for how [Participant Name] can make improvements
in Performance?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Will take action to address a problem rather than to wait to confer with others about the situation.
  1. Takes action when opportunities arise.
  1. Anticipates needs and takes pre-emptive action to address the issue.
  1. Delegates tasks and assignments to subordinates as soon as a request has been made.
  1. Undertakes actions to achieve specific goals.
What are your suggestions for how [Participant Name] can make improvements
in Action?

Problem Solving

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Actively seeks the root cause of a problem.
  1. Ability to develop innovative solutions to problems.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Effective in solving problems.
  1. Ability to solve problems at root cause rather than at symptom level.
What are your suggestions for how [Participant Name] can make improvements
in Problem Solving?

Change Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Inspires others to accept changes.
  1. Able to get team members to change their attitudes.
  1. Is a leading force driving changes.
  1. Works cooperatively with others to implement changes.
  1. Develops a strategy for implementing changes.
What are your suggestions for how [Participant Name] can make improvements
in Change Management?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands and is committed to implementing new technologies.
  1. Proficient in the use of technical systems and processes.
  1. Adopts the implementation of new technology into the workplace.
  1. Supports technical training and development of employees.
  1. Supports employee training and development initiatives regarding implementation of technology.
What are your suggestions for how [Participant Name] can make improvements
in Technology Use/Management?

Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates the analytical skills to do their job.
  1. Keeps themselves and others focused on constant improvement.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Can be counted on to add value wherever they are involved.
  1. Takes a lot of pride in their work.
What are your suggestions for how [Participant Name] can make improvements
in Excellence?

Responsible

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Completes assigned work tasks.
  1. Acts as a resource without removing individual responsibility.
  1. Sets a good example
  1. Is a person you can trust.
  1. Behavior is ethical and honest.
What are your suggestions for how [Participant Name] can make improvements
in Responsible?

Coaching

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Conducts regular performance appraisals and feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Develops the skills and capabilities of others.
  1. Addresses employee behavior problems effectively.
What are your suggestions for how [Participant Name] can make improvements
in Coaching?

Recognition

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Recognizes individuals for a specific outstanding achievement.
  1. Recognizes team members who offer a significant contribution to a project.
  1. Compliments other people when they do good work
  1. Recognizes the abilities and skills of self and others
What are your suggestions for how [Participant Name] can make improvements
in Recognition?


  1. Strengths


  2. Areas for Development


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