HR-Survey > 360-Degree Feedback > Competency Model > Passion to Learn

Passion to Learn - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Passion to Learn:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions for Employees Participating in the 360-Feedback Assessment:

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

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. 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 over the last 12 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 combined with the responses received from others and a report will be generated for you 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.

Competencies Included:
Passion To Learn, Collaboration, Interpersonal Skills, Empowering Others, Adaptability, Juggling Multiple Responsibilities, Technology Use/Management, Others
Sample Result Document:
Sample Results
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 . 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
  1. You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
  1. You enjoy learning new skills and techniques.
  1. You will spend the extra time needed to learn how to properly use new equipment/materials.
  1. You demonstrate a willingness to learn new things.
  1. You keep up-to-date with your skills.
  1. You take advantage of training opportunities when they arise.
If you were to make improvements in Passion To Learn, what are your suggestions for how you can improve this?

Collaboration

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You share insights, innovations, and resources to enhance efficiency.
  1. You are honest with others.
  1. You provide training and support for relationship building in the team.
  1. You value others in decision making.
  1. You engage in teamwork to handle disputes positively.
  1. You seek continuous improvement through the input from coworkers and staff.
If you were to make improvements in Collaboration, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I am someone you can trust.
  1. I work diligently to assist customers in finding the right products.
  1. You strive to lead by example to demonstrate the value of interpersonal relationships.
  1. You resolve conflicts in a positive way.
  1. You coach others how to communicate with influence and persuasion.
  1. You provide constructive feedback in a way that fosters acceptance and development.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Empowering Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I empower employees to structure their work hours to maximize their productivity.
  1. You are aware of the skill levels of employees and assign tasks that are at the appropriate skill level.
  1. I entrust employees with important responsibilities.
  1. I support the decisions of others even if those decisions may sometimes lead to mistakes.
  1. You distribute the workload to subordinates.
  1. You trust employees to complete tasks assigned.
If you were to make improvements in Empowering Others, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to adjusts tactics when things are not working as expected.
  1. You are able to adjust to changes as needed.
  1. You work effectively in dynamic and changing work environments.
  1. You adapt to changes in team membership.
  1. You are flexible and open to new ideas and encourages others to recognize the value of change.
  1. You are proactive and takes steps to prepare for changes in the workplace.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You assess current capabilities before committing to new requests from customers.
  1. You build in extra time in the schedule for unplanned events/occurrences.
  1. You effectively manage time to stay on schedule.
  1. You rank the importance of tasks to make sure critical tasks are completed first.
  1. You effectively handle scheduling conflicts.
  1. You prioritize tasks for efficiency.
If you were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how you can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You adopt the implementation of new technology into the workplace.
  1. You use technology in decision making and problem solving.
  1. You apply complex rules and regulations to maintain optimal system performance.
  1. You maximize the use of new technology to deliver products and services.
  1. You understand and are committed to implementing new technologies.
  1. You support employee training and development initiatives regarding implementation of technology.
If you were to make improvements in Technology Use/Management, what are your suggestions for how you can improve this?

Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You form working relationships with employees from other departments.
  1. You constructively receive criticism and suggestions from others.
  1. You are able to see issues from others' perspectives.
  1. You support the efforts of other employees in implementing solutions to problems.
  1. You treat others with respect and dignity.
  1. You work across boundaries within the organization.
If you were to make improvements in Others, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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