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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.

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.
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Continual Learning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Pursues professional development opportunities when they arise.
  1. Improves on their skill sets.
  1. Pursues learning that will enhance job performance.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Seeks opportunities to grow in skills and knowledge.
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. Holds the team accountable for meeting objectives.
  1. Uses pre-established key benchmarks to measure performance.
  1. Determines the Objectives and Key Results (OKRs) needed for the position.
  1. Establishes indicators to measure levels of performance.
  1. Routinely holds audits of performance on a weekly or monthly basis.
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. Is creative and inspirational.
  1. Conceives, implements and evaluates ideas.
  1. Develops solutions to challenging problems.
  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. Sets a high standard for job performance.
  1. Works effectively in the department.
  1. Works well in this position.
  1. Effectively organizes resources and plans
  1. Able to organize work.
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. Works across organizational lines and boundaries to attain goals.
  1. Undertakes actions to achieve specific goals.
  1. Takes advantage of changes to the current situation.
  1. Effectively handles multiple complex issues simultaneously.
  1. Completes tasks on time in spite of delays in the process.
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. Conducts ongoing monitoring and follow-up to ensure the solution's continued success and to catch any unintended consequences.
  1. Strategically distributes resources (people/time/money) to maximize chances of solving the problem efficiently and effectively.
  1. Identifies the problems that have occurred or are likely to occur.
  1. Develops innovative solutions to problems.
  1. Establishes a timeline for implementation and organizes the needed supplies and equipment.
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 want to change.
  1. Addresses organizational and departmental resistance to changes.
  1. Is an inspiration for others to accept the recent changes.
  1. Facilitates change with minimal resistance.
  1. Effective in implementing new organizational vision and values.
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. Applies complex rules and regulations to maintain optimal system performance.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Uses technology in decision making and problem solving.
  1. Understands and is committed to implementing new technologies.
  1. Proficient in the use of technical systems and processes.
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 functional or technical skills necessary to do their job.
  1. Can be counted on to add value wherever they are involved.
  1. Produces high quality work.
  1. Is planful and organized.
  1. Demonstrates the analytical skills to do their job.
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. Holds herself / himself accountable to goals / objectives
  1. Acts as a resource without removing individual responsibility.
  1. Is a person you can trust.
  1. Sets a good example.
  1. Completes assigned work tasks.
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. Develops the skills and capabilities of others.
  1. Addresses employee behavior problems effectively.
  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. Offers recognition in a timely manner.
  1. Recognizes the abilities and skills of self and others
  1. Finds opportunities to recognize others.
  1. Lets employees know when they have done well
  1. Says "thank you" to show appreciation for work of 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.