Passion to Learn - 360 Degree Feedback Survey Sample #2





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)
Instructions

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 and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Passion To Learn, Continual Improvement, Punctuality, Attitude, Project Management, Decision Making, Commitment To Result, Technical, Trustworthy, Vision
Sample Result Document:
Sample Results
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.

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


Passion To Learn

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Holds self and associates accountable for goal achievement.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Is open minded and curious about learning new skills.
  1. Embraces new technology and procedures.
  1. Exhibits willingness to upgrade skills through additional training and education.
What are your suggestions for how [Participant Name] can make improvements
in Passion To Learn?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to expand current job responsibilities.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Open to the suggestions from others.
  1. Looks for ways to improve work processes and procedures.
What are your suggestions for how [Participant Name] can make improvements
in Continual Improvement?

Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Starts the workday when scheduled.
  1. Arrives to meetings on time.
  1. Starts meetings on time.
  1. Responds to requests for information in a timely manner.
  1. Maintains an efficient schedule of activities.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Contributes to a positive and fun work environment.
  1. Builds open and trusting relationships.
  1. Is gracious and professional in their interactions with others.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Treats all people fairly and with respect.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Project Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Regularly reviews project performance and goals.
  1. Outlines the key objectives for the project.
  1. Determines the appropriate strategy for mitigating specific risks.
  1. Hold team members accountable for completing specific tasks on the project.
  1. Has detailed knowledge about the project and can adapt the project plan as needed.
What are your suggestions for how [Participant Name] can make improvements
in Project Management?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is able to make decisions quickly.
  1. Understands how their decisions will affect others.
  1. Understands what factors are important for deciding if a decision is "worth it"?
  1. Makes decisions based on novel interpretations of the facts.
  1. Defines parameters that will impact the decision making process.
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Commitment To Result

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Takes immediate action toward goals.
  1. Maintains persistence and dedication to achieving results.
  1. Committed to the team.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
What are your suggestions for how [Participant Name] can make improvements
in Commitment To Result?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willingly shares information and expertise; sought out as resource by others
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Knows how to produce high quality products/work.
What are your suggestions for how [Participant Name] can make improvements
in Technical?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Works in a way that makes others want to work with her/him.
  1. Consistently keeps commitments.
What are your suggestions for how [Participant Name] can make improvements
in Trustworthy?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Creates a positive vision of the future for the Company.
  1. Leads employees in new directions.
  1. Develops action plans to align his/her work with the goals of the organization
  1. Understands the vision of the Company and promotes it ahead of any self-interests.
What are your suggestions for how [Participant Name] can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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