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)
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.






Continual Learning

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You pursue professional development opportunities when they arise.
  1. You pursue learning that will enhance job performance.
  1. You share best practices with others and learn from others.
  1. You improve on your skill sets.
  1. You are curious about learning new things.
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
  1. You present clear and persuasive information in reports.
  1. You deliver influential presentations.
  1. You inspire others to take action based on your communications
  1. I listen effectively and respond to new information.
  1. You coach others on their written communication skills
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
  1. You are genuinely concerned about others in the department.
  1. You have genuine concern for others.
  1. You visibly support and encourages diversity in style and background.
  1. You appreciate the efforts of others.
  1. You are gracious and professional in your interactions with others.
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
  1. You make sure commitments are understood and met.
  1. I establish indicators to measure levels of performance.
  1. You continuously measures performance and provides feedback to employees regularly.
  1. You provide employees with training as needed to increase their performance.
  1. You address performance issues as soon as possible.
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
  1. You respond quickly and appropriately to unforeseen problems.
  1. You procure the resources necessary to complete the project.
  1. You work with both internal and external individuals to facilitate the project.
  1. You conduct a risk assessment for each phase of the project.
  1. I identify risks to each phase of the project.
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
  1. You assign tasks to create learning opportunities for the employees.
  1. You entrust subordinates with important tasks.
  1. You delegate the right tasks to the right people.
  1. You communicate expectations for assigned tasks.
  1. You assign tasks to subordinates for completion.
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
  1. You set short and long term goals for self without being pushed.
  1. You seek projects in areas outside immediate responsibilities.
  1. You achieve established goals.
  1. You make sure that team members have a clear idea of our group's goals.
  1. You establish and document goals and objectives.
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
  1. I minimizes operational setbacks and delays.
  1. I recognize the potential financial impact of specific risks.
  1. I conduct internal audit of risk assessments.
  1. You work effectively to transfer risk.
  1. You determine the amount of deviation from the plan that will be tolerated.
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
  1. You develop a culture of safety.
  1. You perform work safely.
  1. You develop safety guidelines for the department.
  1. You are aware of osha safety guidelines.
  1. You encourage others to attend safety training.
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
  1. You ensure a thorough understanding of key issues and priorities.
  1. You clearly articulate points and actively listen to the others to ensure that both sides understand each other's needs and concerns.
  1. I am able to distinguish and navigate between different negotiation strategies and styles.
  1. You firmly believe the company is making the best offer.
  1. You are able to express themselves in a clear, convincing, and logical manner.
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.