Continual Learning - 360 Degree Feedback Survey Sample #3

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)

Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Continual Learning, Communication Skills, Attitude, Managing Performance, Project Management, Delegation, Goals, Managing Risk, Safety, Negotiation

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make a great company.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Continual Learning	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Pursues self-improvement through continual learning.
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Please feel free to provide any comments to help explain your answers?

Communication Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
An effective listener who is responsive to information needs.
Is an effective communicator
Able to demonstrate persuasiveness in pursuit of objectives.
Communications with department leadership
Addresses issues of key importance to stakeholders.
Please feel free to provide any comments to help explain your answers?

Attitude	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Shows by their actions that they trust in the positive intentions of others.
Works to eliminate unnecessary work or barriers that get in others' way.
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
Builds open and trusting relationships.
Please feel free to provide any comments to help explain your answers?

Managing Performance	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Uses timely and appropriate corrective/disciplinary actions.
Is consistent in disciplinary/corrective actions.
Makes sure commitments are understood and met.
Examines the most effective ways for accomplishing goals.
Sets and maintains high standards for self and others.
Please feel free to provide any comments to help explain your answers?

Project Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Defines project outcomes based on customer requirements.
Develops performance measures for various aspects of the project.
Develops action items, workplans, timelines, and criteria for projects.
Regularly reviews project performance and goals.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Please feel free to provide any comments to help explain your answers?

Delegation	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Allows subordinates to use their own methods and procedures.
Tells subordinates what to do, not how to do it.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Please feel free to provide any comments to help explain your answers?

Goals	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Achieves established goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Establishes and documents goals and objectives.
Achieves goals.
Understands & contributes to development of strategic goals.
Please feel free to provide any comments to help explain your answers?

Managing Risk	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Able to adapt quickly to changing situations.
Seeks to maintain the long-term viability of the Company.
Knows how to obtain desired results with minimal losses.
Recognizes that small changes may snowball into major events.
Rewards innovative experiments to try new ideas.
Please feel free to provide any comments to help explain your answers?

Safety	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Develops safety guidelines for the department.
Is not afraid to question a potential safety issue observed in the workplace.
Performs work safely.
Develops a strong safety culture.
Creates accurate and effective measures of safety.
Please feel free to provide any comments to help explain your answers?

Negotiation	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is able to decline bad ideas to avoid making poor decisions.
Influences others through rational argument and persuasion.
Able to say "no" when it is essential to maintaining quality and high standards.
Leverages relationships with others to achieve goals.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Please feel free to provide any comments to help explain your answers?