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Continual Learning - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

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)
Dear Employee:

Thank you for participating in a 360-degree feedback assessment. In this process, you will complete a self-assessment questionnaire (below). You will also receive feedback from others including your manager, peers and direct reports. As you respond, please respond using just your experiences in the past 12 months. Rate each item using the scale shown. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to you at the conclusion of this assessment to help guide your ongoing professional development.

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 by .

Thank you for your participation in the survey.

Management Team



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Continual Learning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. I encourage a culture of shared learning by regularly exchanging ideas, resources, and practical tips.
  1. I promote a culture of continuous learning by openly valuing curiosity, experimentation, and skill development.
  1. You build on your strengths while addressing your weaknesses.
  1. You actively acknowledge employees' development milestones, reinforcing that continual learning is an expected part of performance.
  1. You show enthusiasm for learning by engaging fully in training, coaching, and skill-building activities.


Self Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development


Professional Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You encourage employees to take courses relevant to their job.
  1. You seek opportunities for continuous learning.
  1. You quickly acquire and apply new knowledge and skills when needed
  1. You allow employees to fully participate in employee training and professional development.
  1. You seek opportunities for professional development.


Punctuality

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You arrive to meetings on time.
  1. You start meetings on time.
  1. You invoice clients on a timely basis.
  1. You avoid making personal phone calls during working hours.
  1. You respond to requests for information in a timely manner.


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. I consistently meet client's needs.
  1. You focus on maintaining good relationships with clients.
  1. I exhibit a positive attitude even when dealing with difficult clients.
  1. You ensure client commitments and requirements are met or exceeded
  1. You anticipate client needs.


Empowering Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You create opportunities for employees to exercise their independence.
  1. You give employees input into the decision making process.
  1. You let employees make their own decisions.
  1. You are aware of the skill levels of employees and assign tasks that are at the appropriate skill level.
  1. I enable employees to take on more challenging roles.


Recognition

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. I exhibit recognition in the appropriate settings and environment.
  1. I benchmark recognition practices against internal standards or external best practices to identify opportunities for improvement.
  1. I develop and maintain a standardized recognition process that outlines when, how, and for whom recognition activities occur throughout the year.
  1. I recognize and reward people base on their job performance.
  1. You use positive reinforcement to redirect performance.



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






  2. Strengths


  3. Areas for Development


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