Continual Learning - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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

• Views setbacks as opportunities to learn from.
• Shares best practices with others and learns from others.
• Improves on their skill sets.
• Grasps new ideas, concepts, technical, or business knowledge.
• Is open to new ideas and concepts.

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

Comments:

Supervisory Skills

• Is a calming force during stressful periods.
• Spends time to actively listen to the grievance.
• Works well with the team members.
• Fosters an environment that supports open communication.
• Demonstrates exemplary work performance that others should follow.

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

Comments:

Results Oriented

• Willing to take on new assignments to help increase production.
• Keeps track of progress toward the results.
• Recognizes the problem that needs to be solved.
• Helps others when free-time is available.
• Responds to changing events to maintain progress toward achieving results.

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

Comments:

Objectives

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

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

Comments:

Negotiation

• Influences others through rational argument and persuasion.
• Combines the valid points from each source to form a comprehensive and balanced perspective.
• Is resolute when stating priorities and non-negotiables.
• Identifies goals and objectives desired as well as the strengths and weaknesses currently possessed.
• Justifies viewpoints using strong and credible data.

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.