Continual Learning - 360 Degree Feedback Survey Sample #10

360 Feedback 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)

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 comment section for that competency. 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.

Continual Learning

  • Takes charge of their training and skills enhancement.
  • Pursues learning that will enhance job performance.
  • Takes the initiative to learn new skills.
  • Pursues self-improvement through continual learning.
  • Is open to new ideas and concepts.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

  • Bounces back from daily crisis, disappointments and frustrations.
  • Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  • Assesses current capabilities before committing to new requests from customers.
  • Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
  • Plans and organizes continuously while performing all other responsibilities and activities.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?


  • Takes a lot of pride in their work.
  • Keeps themselves and others focused on constant improvement.
  • Demonstrates the functional or technical skills necessary to do their job.
  • Produces high quality work.
  • Demonstrates the analytical skills to do their job.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?


  • Behavior is ethical and honest.
  • Responsible for setting the vision of the department.
  • Holds herself / himself accountable to goals / objectives
  • Sets a good example.
  • Works in a way that makes others want to work with her/him.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?


  • Conducts regular performance appraisals and feedback.
  • Helps employees to maintain high personal standards.
  • Develops the skills and capabilities of others.
  • Provides clear, motivating, and constructive feedback.
  • Coaches employees in how to strengthen knowledge and skills to improve work performance.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

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