Continual Learning - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Continual Learning

What does Continual Learning mean?
It means that ...
  • You pursue learning that will enhance job performance.
  • You are open to new ideas and concepts.
  • You improve on your skill sets.
  • You take the initiative to learn new skills.
  • You seek opportunities to grow in skills and knowledge.

To what extent does this person exhibit Continual Learning?
Select from one of the ratings below.


What does Leadership mean?
It means that ...
  • You effectively lead others.
  • You are a highly effective supervisor.
  • You act decisively in implementing decisions.
  • You take ownership and accountability for results
  • You clearly explain performance expectations and goals to be reached at the beginning of a project, then let others decide how to achieve the goal.

To what extent does this person exhibit Leadership?
Select from one of the ratings below.


What does Management mean?
It means that ...
  • You make others feel enthusiastic about your work
  • You are ready to offer help
  • You keep staff informed about what is happening in the company
  • You set an example for others to follow
  • You take responsibility for things that go wrong

To what extent does this person exhibit Management?
Select from one of the ratings below.

Administrative Skill

What does Administrative Skill mean?
It means that ...
  • You are able to develop, justify and present a budget.
  • You have a high attention to detail.
  • You have strong technical/computer skills.
  • You implement and use performance measures.
  • You complete reports on-time.

To what extent does this person exhibit Administrative Skill?
Select from one of the ratings below.


What does Recognition mean?
It means that ...
  • You compliment other people when they do good work
  • You recognize the abilities and skills of self and others
  • You say "thank you" to show appreciation for work of others.
  • You offer recognition in a timely manner.
  • You make people around them feel appreciated and valued.

To what extent does this person exhibit Recognition?
Select from one of the ratings below.

Areas for Development

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