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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)
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)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. 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
Sample Result Document:
Sample Results
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 this a great company.

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



Edit this Survey
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Continual Learning

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. I share newly acquired skills and insights with colleagues to strengthen collective learning and improvement.
  1. You build capability year after year by embracing ongoing education, training, and self-directed development.
  1. You enhance organizational learning by making new knowledge accessible and easy for others to use.
  1. You consistently expand professional knowledge by seeking new insights, tools, and methods throughout your career.
  1. You periodically monitor employee progress in assigned learning activities.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
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Competency
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  1. You are able to clarify complex or technical information.
  1. You acknowledge an understanding of what the other person is saying.
  1. You are able to understand the core issues of the conversation.
  1. You present clear and persuasive information in reports.
  1. You coach others and provides feedback on the use of different oral communication styles for different audiences.
Please feel free to provide any comments to help explain your answers?

Attitude

Does Not
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Competency
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  1. You appreciate feedback from others as an opportunity for self-improvement.
  1. I take ownership for both successes and failures.
  1. I view feedback as a tool for improvement rather than a threat to ego.
  1. I am willing to mentor and coach employees.
  1. You speak positively about the organizational direction, helping staff to see the bigger picture.
Please feel free to provide any comments to help explain your answers?

Managing Performance

Does Not
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Competency
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Competency
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Competency
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  1. You require employees to provide status updates that explain progress, obstacles, and next steps.
  1. You identify specific actions to be addressed through the remediation plan.
  1. You reward employees for exceeding goals.
  1. You regularly conduct performance reviews of all employees.
  1. You recognize and value good performance.
Please feel free to provide any comments to help explain your answers?

Project Management

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  1. I define the project scope, goals, and resources.
  1. I motivate the team to meet project deadlines and performance measures.
  1. I can develop a plan for resource management.
  1. You coordinate timelines, events and tasks with various sub-groups within the project.
  1. You identify potential risks to completing the project on time.
Please feel free to provide any comments to help explain your answers?

Delegation

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Competency
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Competency
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Competency
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  1. You develop a team of trusted employees that work can be delegated to.
  1. You facilitate access to support and resources that enable delegated tasks to deliver strategic value.
  1. I review workload distribution to avoid duplication or gaps in accountability.
  1. You define the roles, responsibilities, required actions, and deadlines for team members.
  1. I delegate tasks that allow room for growth of the employee's skills set.
Please feel free to provide any comments to help explain your answers?

Goals

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  1. I adhere to deadlines for the accomplishment of goals.
  1. You avoid actions that do not contribute to the achievement of the goal.
  1. You achieve established goals.
  1. You perform a SWOT analysis (analyzing other companies strengths, weaknesses, opportunities, and threats) to help determine strategic goal-setting.
  1. You give helpful feedback and lend support to coworkers in reaching their goals.
Please feel free to provide any comments to help explain your answers?

Managing Risk

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  1. I create continuity plans.
  1. You effectively manage risk for the department.
  1. I accept risks as needed.
  1. You maintain open communication with other departments.
  1. You communicate changes in risk mitigation processes promptly and clearly.
Please feel free to provide any comments to help explain your answers?

Safety

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  1. You ensure all employees handle hazardous materials are properly trained.
  1. I develop and update emergency response procedures to support disaster recovery efforts.
  1. You establish and manage maintenance processes that keep materials-handling equipment safe and dependable.
  1. You actively participate in safety training.
  1. You tailor training approaches to the needs of different roles, experience levels, or work environments.
Please feel free to provide any comments to help explain your answers?

Negotiation

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Competency
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  1. You handle disputes with tact and diplomacy, ensuring that personal opinions do not interfere with professional responsibilities.
  1. I am focused on joint problem-solving and honest communication.
  1. You help parties translate individual preferences into share criteria for evaluating solution options.
  1. I revise proposals in real time to incorporate new information, emerging interests, or unexpected obstacles without losing sight of core objectives.
  1. I am knowledgeable of which negotiation approaches were successful in the past.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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