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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.
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Passion To Learn

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Inspires others to learn new things.
  1. Takes initiative for own learning and development.
  1. Enhances value to the company through additional training and development.
  1. Constantly enhances product knowledge through experimentation and play.
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. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to improve work processes and procedures.
  1. Open to the suggestions from others.
  1. Looks for ways to expand current job responsibilities.
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. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
  1. Conducts appointments at scheduled start time.
  1. Avoids making personal phone calls during working hours.
  1. Arrives to meetings on time.
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. Treats all people fairly and with respect.
  1. Contributes to a positive work environment.
  1. Visibly supports and encourages diversity in style and background.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
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. Establishes the scope for the project.
  1. Inspires the project implementation team to achieve success.
  1. Identifies potential risks that could pose challenges to the project timeline.
  1. Estimates the staffing requirements for the project.
  1. Identifies the potential risks for each phase of the project.
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. Performs a cost/benefit analysis before making a decision.
  1. Effectively chooses appropriate courses of action.
  1. Does not lose sight of the big picture when making decisions
  1. Regularly evaluates information before making important decisions.
  1. Stays focused on the main objective when making decisions.
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. Takes immediate action toward goals.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Encourages commitment in others to obtain results.
  1. Able to focus on a task even when working alone.
  1. Maintains persistence and dedication to achieving results.
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. Knows how to produce high quality products/work.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
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. Delivers on promises made.
  1. Is a person you can trust.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Is trustworthy; is someone I can trust.
  1. Works in a way that makes others want to work with her/him.
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. Develops action plans to align his/her work with the goals of the organization.
  1. Creates a common vision for others.
  1. Develops strategies that align with the organization's collective vision.
  1. Develops an inspiring and ambitious vision for the organization's future.
  1. Sets a schedule for achieving the organization's vision.
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.