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. Shares best practices with others and learns from others.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Takes charge of their training and skills enhancement.
  1. Is open to new ideas and concepts.
  1. Pursues professional development opportunities when they arise.
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. Monitors performance on a regular basis.
  1. Records production quotas on a daily basis.
  1. Uses existing performance frameworks to define measures of performance.
  1. Provides employees with necessary resources to accomplish their goals.
  1. Recognizes and values good performance.
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. Develops solutions to challenging problems.
  1. Creates a lot of new ideas.
  1. Is creative and inspirational.
  1. Inspires creativity in their team.
  1. Adds value to the department/organization.
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. Effective in performing his/her job.
  1. Works effectively in the department.
  1. ...Overall Performance
  1. Works well in this position.
  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. Effectively handles multiple complex issues simultaneously.
  1. Takes the initiative and does not wait for the situation to change.
  1. Approves purchase requests in a timely manner.
  1. Conducts critical-incident review immediately after the event.
  1. Will take action to address a problem rather than to wait to confer with others about the situation.
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. Ability to develop innovative solutions to problems.
  1. Is a good problem solver and decision maker
  1. Able to balance the needs of different people in a solution to a problem.
  1. Solves problems using logic and insight.
  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. Assists others in understanding changes to the organization.
  1. Able to get team members to change their attitudes.
  1. Works cooperatively with others to implement changes.
  1. Inspires others to accept changes.
  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. Uses technology in decision making and problem solving.
  1. Maximizes the use of new technology to deliver products and services.
  1. Proficient in the use of technical systems and processes.
  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. Keeps themselves and others focused on constant improvement.
  1. Can be counted on to add value wherever they are involved.
  1. Produces high quality work.
  1. Demonstrates the analytical skills 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. Completes assigned work tasks.
  1. Is a person you can trust.
  1. Sets a good example.
  1. Works in a way that makes others want to work with her/him.
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. Conducts regular performance appraisals and feedback.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Develops the skills and capabilities of others.
  1. Provides clear, motivating, and constructive 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. Says "thank you" to show appreciation for work of others.
  1. Offers recognition in a timely manner.
  1. Is sincerely interested in the suggestions of co-workers
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Recognizes individuals for a specific outstanding achievement.
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.