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. Enhances value to the company through additional training and development.
  1. Inspires others to learn new things.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Takes advantage of training opportunities when they arise.
  1. Holds self and associates accountable for goal achievement.
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. Promotes training and development opportunities to enhance job performance.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand and learn new job skills.
  1. Open to the suggestions from others.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
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. Avoids making personal phone calls during working hours.
  1. Conducts appointments at scheduled start time.
  1. Starts meetings on time.
  1. Invoices clients on a timely basis.
  1. Responds to requests for information in a timely manner.
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. Is gracious and professional in their interactions with others.
  1. Visibly supports and encourages diversity in style and background.
  1. Treats all people fairly and with respect.
  1. Builds open and trusting relationships.
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. Investigates potential risks of different courses of action.
  1. Has the requisite industry knowledge to manage projects in this field.
  1. Documents the risk assessments for different parts of the project.
  1. Determines the project strategy for implementation.
  1. Creates a schedule for the different phases 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. Outlines the parameters influencing the decision making process.
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Decides which short- and long-term goals should be created.
  1. Examines for patterns in data to help predict future possibilities.
  1. Is aware of the impact of decisions and informs others about potential outcomes.
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. Maintains persistence and dedication to achieving results.
  1. Coordinates all department activities into a cohesive team effort.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Able to focus on a task even when working alone.
  1. Encourages commitment in others to obtain 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. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares information and 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.
  1. Is knowledgeable of procedures or systems necessary for the job.
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. Communicates an understanding of the other person's interests, needs and concerns.
  1. Works in a way that makes others want to work with her/him.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Takes ownership, delivers on commitments
  1. Takes care to maintain confidential information.
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. Envisions and articulates a clear path for the department's growth over the next year.
  1. Effectively communicates the vision to employees.
  1. Creates a positive vision of the future for the Company.
  1. Diagnoses issues and envisions solutions.
  1. Communicates the vision and strategy of [Company]
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.