Continual Learning - 360 Degree Feedback Survey Sample #5

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. 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 the recipient to help guide their ongoing development.

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

Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Pursues self-improvement through continual learning.
Builds on their strengths while addressing their weaknesses.
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Shares best practices with others and learns from others.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
Does not allow own emotions to interfere with the performance of others.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for professional development.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Starts meetings on time.
Conducts appointments at scheduled start time.
Avoids making personal phone calls during working hours.
Maintains an efficient schedule of activities.
Arrives to meetings on time.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures client commitments and requirements are met or exceeded
Forms strong client relationships
Looks for opportunities that have a positive impact on Clients.
Maintains strong relationships with clients.
Satisfies client needs.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets clear goals for others to accomplish.
Provides support and resources needed to accomplish goals.
Encourages others to obtain necessary skills and training.
Allows individuals to be responsible for their decisions.
Distributes the workload to subordinates.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes individuals for a specific outstanding achievement.
Lets employees know when they have done well
Recognizes the abilities and skills of self and others
Says "thank you" to show appreciation for work of others.
Recognizes team members who offer a significant contribution to a project.

36. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for 's assessment.