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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

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. Is open to new ideas and concepts.
  1. Builds on their strengths while addressing their weaknesses.
  1. Takes the initiative to learn new skills.
  1. Views setbacks as opportunities to learn from.
  1. Pursues self-improvement through continual learning.
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. Addresses poor performance sooner rather than later.
  1. Encourages employees to take additional training in areas where they had low performance scores.
  1. Links qualitative objectives to quantitative key results.
  1. Administers the performance rewards program in a fair and equitable manner.
  1. Sets performance expectations that are clear, specific and concise.
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 and inspirational.
  1. Conceives, implements and evaluates ideas.
  1. Inspires creativity in their team.
  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. Works well in this position.
  1. Effective in performing his/her job.
  1. ...Overall Performance
  1. Listens and responds to issues and problems
  1. ...Produce Quality
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. Anticipates critical incidents in the department and takes steps to mitigate their effect.
  1. Fixes small issues before they become critical incidents.
  1. Takes action when opportunities arise.
  1. Makes decisions confidently and stands by them.
  1. Is the first to volunteer for assignments.
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. Generates alternative solutions to problems and challenges.
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  1. Solves problems using logic and insight.
  1. Effective in solving problems.
  1. Identifies and assesses all potential responses to a problem.
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. Is an inspiration for others to accept the recent changes.
  1. Inspires others to accept changes.
  1. Works cooperatively with others to implement changes.
  1. Able to get team members to change their attitudes.
  1. Adopts changes to set and example for others to follow.
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. Supports employee training and development initiatives regarding implementation of technology.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports technical training and development of employees.
  1. Proficient in the use of technical systems and processes.
  1. Adopts the implementation of new technology into the workplace.
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. Keeps themselves and others focused on constant improvement.
  1. Is planful and organized.
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the functional or technical skills necessary to do their job.
  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. Sets a good example
  1. Responsible for setting the vision of the department.
  1. Completes assigned work tasks.
  1. Behavior is ethical and honest.
  1. Sets a good example.
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. Addresses employee behavior problems effectively.
  1. Develops the skills and capabilities of others.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to maintain high personal standards.
  1. Conducts regular performance appraisals and feedback.
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. Recognizes individuals for a specific outstanding achievement.
  1. Readily shares credit and gives others opportunity for visibility.
  1. Recognizes the abilities and skills of self and others
  1. Lets employees know when they have done well
  1. Compliments other people when they do good work
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.