Continual Learning - 360 Degree Feedback Survey Sample #8

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)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Continual Learning

Agree Unsure Disagree N/A
  1. Builds on their strengths while addressing their weaknesses.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Sets relevant learning objectives and goals.
  1. Pursues self-improvement through continual learning.
  1. Shares best practices with others and learns from others.


Agree Unsure Disagree N/A
  1. Starts meetings on time.
  1. Conducts appointments at scheduled start time.
  1. Invoices clients on a timely basis.
  1. Arrives to meetings on time.
  1. Responds to requests for information in a timely manner.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Recognizes and values individual and cultural differences.
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Values the opinions of diverse groups and individual.
  1. Respects others regardless of age, race, gender, nationality, or disability.
  1. Treats others with dignity and respect.

Bias for Action

Agree Unsure Disagree N/A
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Displays high energy and enthusiasm on consistent basis.
  1. Encourages risk taking and experimentation to improve performance
  1. Motivates others to achieve or exceed goals
  1. Conveys a sense of urgency about addressing problems and opportunities

Results Oriented

Agree Unsure Disagree N/A
  1. Explains the "whys" behind organizational objectives
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same
  1. Directs team in prioritizing daily work activities
  1. Works toward achievement of goals even when confronted with obstacles.
  1. Inspires and motivates co-workers to be productive and energetic at work


Agree Unsure Disagree N/A
  1. Checks details thoroughly.
  1. Avoids creating ambiguity or mixed messages.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Attends to the important details of a job or task.
  1. Maintains clarity in goals and objectives.


Agree Unsure Disagree N/A
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Addresses employee behavior problems effectively.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Develops the skills and capabilities of others.
  1. Conducts regular performance appraisals and feedback.


Agree Unsure Disagree N/A
  1. Collaborates with others to accomplish goals and objectives.
  1. Supports a partnering/networking culture.
  1. Promotes the understanding of how the department affects the organization overall.
  1. Supports and encourages relationships that are created by diverse team members.
  1. Partners with peers to obtain influence within the Company.


Agree Unsure Disagree N/A
  1. Has a strategic awareness on how to promote the organization.
  1. Encourages dynamic growth opportunities.
  1. Encourages risk taking for developing potential business opportunities.
  1. Able to adapt the department to changing business demands and climate.
  1. Devotes a certain amount of time and effort to developing new business opportunities.


Agree Unsure Disagree N/A
  1. Demonstrates consistency between words and actions
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Works to support the strategy of [Company]
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Understands the vision of the Company and promotes it ahead of any self-interests.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.