Passion to Learn - 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Passion To Learn, Supervisory Skills, Delegation, Quality, Initiative, Managing Risk, Regulatory/Compliance, Developing Others, Organizational Fluency
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Passion To Learn

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Is committed to enhancing their own knowledge and skills.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Takes advantage of training opportunities when they arise.
  1. Creates an environment that supports personal development and exploration.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Competency
  1. Provides direction and coaching to employees.
  1. Ensures employees know what they need to complete during the shift.
  1. Decides which team members are assigned to each job.
  1. Sets the objectives to be completed for the shift.
  1. Delegates effectively.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Defines goals and objectives for subordinates.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Assigns tasks to create learning opportunities for the employees.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Recognizes their role in promoting quality and safety in the workplace.
  1. Views quality issues as a system failure rather than an individual failure.
  1. Adopts and implements best practices when it comes to quality procedures.
  1. Consistently provides timely, accurate, and reliable information on quality measures.
  1. Always strives to produce the highest quality work products.
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
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Exhibits this
Competency
  1. Anticipates what needs to be done and makes necessary preparations.
  1. Initiates draft documents for the director.
  1. Does things without being told.
  1. Initiates new projects for the department.
  1. Addresses small problems before they become big ones.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Uses data from the purchasing department to anticipate possible supply chain risks.
  1. Rewards risky ideas that may yield significant benefits.
  1. Understands that risk may represent a threat or an opportunity.
  1. Effectively manages risk for the department.
  1. Prioritizes risks based on probability of occurrence and possible impact to the company.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Competency
Always
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Competency
  1. Creates and administers training initiatives on compliance and regulations.
  1. Coordinates the work of other Business Managers to ensure all are in compliance with established standards and guidelines.
  1. Implements internal control processes to detect misconduct or patterns of illegal transactions.
  1. Coordinates the execution of compliance strategies across departments.
  1. Submits complete applications for necessary certifications.
Please feel free to provide any comments to help explain your answers?

Developing Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Recognizes and celebrates accomplishments of others.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Is open to receiving feedback.
  1. Encourages employees through recognition of positive changes in behavior.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to use corporate politics to advance department objectives.
  1. Understands departmental policies and procedures.
  1. Effective in communicating with others within the organization.
  1. Understands the current organizational culture.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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