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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, 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. Will participate in training classes even if offered outside of normal working hours.
  1. Inspires others to learn new things.
  1. Holds self and associates accountable for goal achievement.
  1. Embraces new technology and procedures.
  1. Enhances value to the company through additional training and development.
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. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to improve work processes and procedures.
  1. Analyzes processes to determine areas for improvement.
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. Invoices clients on a timely basis.
  1. Starts the workday when scheduled.
  1. Avoids making personal phone calls during working hours.
  1. Arrives to meetings on time.
  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. Offers to test new tools, systems, or workflows to improve organizational effectiveness.
  1. Engages in continuous learning, drawing lessons from both success and failure.
  1. Engages with employees at every level in a warm, approachable manner.
  1. Contributes to a positive and fun work environment.
  1. Embraces unexpected challenges with a calm, solution-oriented mindset.
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. Understands the financial, strategic, resources, staffing, timeline and market risks that may impact the project.
  1. Responds quickly and appropriately to unforeseen problems.
  1. Estimates the staffing requirements for the project.
  1. Researches potential solutions to meet the constraints of the project.
  1. Correctly estimates the cost of supplies for 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. Connects unrelated concepts or data points to form innovative solutions that others may overlook.
  1. Knows when to delegate, collaborate, or pause based on an assessment of my capabilities or expertise.
  1. Openly admits when a choice didn't work out and uses it as a learning opportunity without becoming defensive.
  1. Examines relevant factors needed to make a decision.
  1. Is creative about the decisions they make.
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Commitment

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Fosters alignment around organizational values to enhance collective performance.
  1. Keeps priorities clear, resisting distractions and staying aligned with agreed-upon commitments.
  1. Maintains commitment by framing setbacks as steppingstones, inspiring persistence and resilience in pursuit of long-term goals.
  1. Exhibits personal dedication to the goals and objectives of the organization.
  1. Mobilizes commitment to core values that sustain collaboration and performance.
What are your suggestions for how [Participant Name] can make improvements
in Commitment?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Knows how to produce high quality products/work.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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. Takes care to maintain confidential information.
  1. Is trustworthy; is someone I can trust.
  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. 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. Encourages employees to align their goals and decisions with the departmental vision.
  1. Ensures that work is systematically aligned and coordinated with the organization's vision.
  1. Encourages employees to embrace the departmental vision.
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Establishes the direction and strategy for the organization.
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.