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



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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. Demonstrates a willingness to participate in continuing education courses.
  1. Holds self and associates accountable for goal achievement.
  1. Is open minded and curious about learning new skills.
  1. Embraces new technology and procedures.
  1. Constantly enhances product knowledge through experimentation and play.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Knows the best ways to communicate effectively with different types of employees.
  1. Is diligent about properly documenting disciplinary actions.
  1. Follows the company standard procedures for allocating assignments.
  1. Makes sure employees complete the work on time.
  1. Gives feedback that includes both a recognition of the employee's strengths and areas where the employee could do better.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
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Competency
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Exhibits this
Competency
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Competency
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Competency
  1. Does not intervene in delegated tasks unless performance, risk, or alignment issues arise.
  1. Facilitates access to support and resources that enable delegated tasks to deliver strategic value.
  1. Confidently assigns tasks to subordinates without excessive oversight or micromanagement.
  1. Entrusts subordinates with important tasks.
  1. Considers growth opportunities and possibilities 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
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Competency
  1. Communicates quality standards that are easily by employees.
  1. Sets high benchmarks for employees to achieve.
  1. Evaluates and improves the quality of services and products.
  1. Effectively works with Quality Control (QC) engineers.
  1. Able to anticipate quality issues and take preventative actions.
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Initiates draft reports for consideration.
  1. Looks for opportunities to move projects forward.
  1. Takes the initiative to complete tasks ahead of schedule.
  1. Immediately informs the HR Department of any personnel complaints or issues.
  1. Cleans the workspace without being told.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
Usually
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Competency
Always
Exhibits this
Competency
  1. Looks for opportunities to turn a risk event into an advantage for the company.
  1. Accepts risk as needed.
  1. Ensures that any risky decisions taken are based on informed decision making.
  1. Determines a proportional response in relation to the level of risk.
  1. Designs risk management activities that support the success of the company.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Is aware of federal and local laws affecting employees.
  1. Integrates reporting systems with enterprise resource planning (ERP) tools to ensure real-time compliance tracking.
  1. Works quickly to implement changes in regulations.
  1. Explains regulations and procedures to others as required.
  1. Provides direction and oversight for the compliance department.
Please feel free to provide any comments to help explain your answers?

Developing Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
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Competency
  1. Tries to ensure employees are ready to move to the next level.
  1. Supports the successes of other employees.
  1. Is open to receiving feedback.
  1. Provides constructive feedback to others.
  1. Creates opportunities for professional development.
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. Able to explain departmental policies and procedures to others.
  1. Understands the current organizational culture.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Effective in communicating with others within the organization.
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.