Continual Learning - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

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

• Takes the initiative to learn new skills.
• Is open to new ideas and concepts.
• Shares best practices with others and learns from others.
• Grasps new ideas, concepts, technical, or business knowledge.
• Sets relevant learning objectives and goals.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Supervisory Skills

• Resolves disputes in a way that quickly reaches mutual agreement.
• Listens to others.
• Is able to manage emotions during difficult times.
• Maintains good working relationships with employees.
• Holds employees accountable for work assignments.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Results Oriented

• Provides clear expectations for employees.
• Does not become distracted by non-issues or interruptions.
• Explains the "whys" behind organizational objectives
• Works toward achievement of goals even when confronted with obstacles.
• Inspires and motivates co-workers to be productive and energetic at work

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Objectives

• Organizes and schedules events, activities, and resources.
• Works toward achieving established goals and objectives.
• Effectively organizes resources and plans
• Assures [Company] principles are understood, employed & pursued.
• Encourages me to take on greater responsibility.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Negotiation

• Is flexible in responses.
• Able to say "no" when it is essential to maintaining quality and high standards.
• Able to control their emotional responses and correctly gauge the emotions of others.
• Actively listens to conversations to be able to recall important details later.
• Able to influence others to accept certain positions.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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