Passion to Learn - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Passion To Learn	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Demonstrates through personal behavior the commitment to high standards of performance.
Persists until goals are achieved and commitments are met.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Critiques own performance and learns from experience as a source of continuous improvement.
Holds self and associates accountable for goal achievement.
If were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Builds on their strengths while addressing their weaknesses.
Pursues self-improvement through continual learning.
Shares best practices with others and learns from others.
Grasps new ideas, concepts, technical, or business knowledge.
Sets relevant learning objectives and goals.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to influence others.
Takes ownership and accountability for results
Effectively leads others.
Acts decisively in implementing decisions.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Managing Performance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Uses timely and appropriate corrective/disciplinary actions.
Obtains commitment from employees regarding completion of tasks.
Sets specific and measurable goals for others and follows through to completion.
Sets and maintains high standards for self and others.
Measures performance against goals and objectives.
If were to make improvements in Managing Performance, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Recognizes and implements changes to enhance efficiency and effectiveness.
Is flexible and open minded in dealing with others.
Develops insights and applies innovative solutions to projects and problems.
Learns from personal experiences and/or mistakes.
Works effectively in dynamic and changing work environments.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Can multi-task while performing all of their other responsibilities and activities.
Plans and organizes continuously while performing all other responsibilities and activities.
Bounces back from daily crisis, disappointments and frustrations.
If were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Works quickly when faced with difficult problems.
Is not afraid to take corrective action when necessary.
Does whatever it takes (within reason) to get the job done.
Motivates & supports others to gain skills
Drives and mobilizes others progress toward goals.
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Technology Use/Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Uses technology in decision making and problem solving.
Applies complex rules and regulations to maintain optimal system performance.
If were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Values the opinions of others.
Applies appropriate communication techniques to the situation.
Demonstrates willingness to work with others.
Provides constructive feedback in a way that fosters acceptance and development.
Strives for win/win solutions
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Allows individuals to be responsible for their decisions.
Encourages employees to solve problems on their own.
Encourages others to obtain necessary skills and training.
Provides support and resources needed to accomplish goals.
Distributes the workload to subordinates.
If were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to see issues from others' perspectives.
...treats others with respect and dignity.
Helpful
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
If were to make improvements in Others, what are your suggestions for how he/she can improve this?

56. What are 's greatest strengths demonstrated this year?
    
    
    
57. What are 's areas for development?
    
    
    
58. Please give any final comments or suggestions for 's assessment.