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.

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 take the initiative to learn new skills.
  1. You improve on your skill sets.
  1. You pursue self-improvement through continual learning.
  1. You build onto your strengths.
  1. You take charge of your training and skills enhancement.
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 create reports that are clear and persuasive.
  1. You communicate effectively with colleagues.
  1. You provide followup information and seek to avoid misunderstandings.
  1. You check for understanding throughout conversations or group presentations/discussions
  1. I welcome input and suggestions from others.
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 gracious and professional in your interactions with others.
  1. You show empathy in your interactions with others.
  1. You contribute to a positive and fun work environment.
  1. You work to eliminate unnecessary work or barriers that get in others' way.
  1. You appreciate the efforts of 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 acknowledge employee contributions that support the bottom line.
  1. You perform thorough and timely employee performance reviews.
  1. I increase responsibilities for high performing individuals.
  1. I determine the operational standards needed for performance of the job.
  1. I make sure employees understand what is expected of them.
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 locate the financial resources to budget for the project.
  1. You create the communications that will be used throughout the project's implementation.
  1. You use appropriate technology to efficiently communicate with team members.
  1. You establish the sequence of steps needed to complete the project.
  1. You coordinate timelines, events and tasks with various sub-groups within 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 ensure delegated tasks are completed on time.
  1. You assess the skill levels of employees being assigned tasks.
  1. You delegate authority and responsibility to subordinates and holds them accountable for your actions.
  1. You allow employees to decide how they wish to complete the tasks.
  1. You delegate the right tasks to the right people.
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 conduct timely follow-up; keeps others informed on a need to know basis.
  1. You set challenging stretch goals
  1. You keep abreast of current developments pertaining to the job
  1. You make sure that I have a clear idea of our group's goals.
  1. You set high expectations and goals; encourages others to support the organization.
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. You use data from the purchasing department to anticipate possible supply chain risks.
  1. You determine the impact of specific risks on marketplace.
  1. I evaluate the impact of certain events on the attainment of corporate objectives.
  1. You offer training to reduce safety incidents in the workplace.
  1. I seek to capitalize on risks.
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 support our company's safety programs.
  1. You are committed to safety in the workplace.
  1. You mitigate hazards and safety issues that arise.
  1. You create accurate and effective measures of safety.
  1. You seek to reduce the likelihood of accidents.
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 manage emotions to reduce the impact of negativity.
  1. You firmly believe the company is making the best offer.
  1. I am able to distinguish and navigate between different negotiation strategies and styles.
  1. You conduct necessary preparations before engaging in negotiations.
  1. You keep the negotiations constructive and focused on problem-solving rather than conflict.
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.