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.

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Continual Learning

• Actively pursues training, courses, and development activities to strengthen skills and stay current.
• Is open to new ideas and concepts.
• Stays informed about industry changes and integrates new information into decision-making and planning.
• Actively acknowledges employees' development milestones, reinforcing that continual learning is an expected part of performance.
• Tracks individual and team development progress to verify that training efforts are producing measurable improvement.

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

Comments:

Supervisory Skills

• Maintains professional interactions with peers, customers, and employees.
• Effectively determines which issues need immediate attention.
• Maintains a steady, respectful tone during difficult conversations, modeling professionalism.
• Promotes teamwork and cooperation within the department.
• Uses disciplinary measures with the intent to guide and improve behavior, rather than to seek retribution.

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

Comments:

Results Oriented

• Encourages a high-energy, fun work environment and coaches others on how to do the same
• Holds others accountable for producing high quality work.
• Sets important goals for the department.
• Clearly defines roles and expectations.
• Measures performance against goals and objectives.

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

Comments:

Objectives

• Aligns immediate tasks with long-term aspirations to maintain a focused and cohesive overall effort.
• Adjusts timelines, expectations, or resource allocations when new objectives emerge or existing objectives shift.
• Uses metrics such as the number of tasks completed, project milestones achieved, or output produced per hour to measure progress.
• Provides feedback to employees letting them know of their status in the completion of their objectives.
• Adjusts timelines, milestones, or expectations when new information, constraints, or opportunities emerge.

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

Comments:

Negotiation

• Fosters a cooperative atmosphere where each side works together to resolve conflicts.
• Develops win-win solutions that benefit everyone involved.
• Creates an atmosphere of mutual respect by acknowledging the other party's contributions, concerns, and expertise.
• Uses deliberate pauses to de-escalate tension and give participants space to regain composure before continuing.
• 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.