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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. Exhibits willingness to upgrade skills through additional training and education.
  1. Embraces new technology and procedures.
  1. Takes advantage of training opportunities when they arise.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Is open to feedback from others.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. Values the opinions of subordinates.
  1. Listens to the concerns of employees.
  1. Is clear when assigning tasks to be completed.
  1. Makes decisions based on all relevant information.
  1. Facilitates open communication between employees.
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
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Competency
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Competency
  1. Entrusts subordinates with important tasks.
  1. Defines goals and objectives for subordinates.
  1. Allows subordinates to use their own methods and procedures.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Clearly defines duties and tasks to be completed.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Exhibits this
Competency
  1. Creates effective policies regarding quality of services and products.
  1. Encourages others to achieve high quality standards.
  1. Addresses barriers to successfully implementing quality standards.
  1. Implements quality control feedback loops to enhance services and products.
  1. Develops and maintains quality control checklists for the manufacturing department.
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Takes on extra projects after required work is completed.
  1. When working on a problem in a team, they are often the first to suggest possible solutions.
  1. Initiates draft reports for consideration.
  1. Anticipates what needs to be done and makes necessary preparations.
  1. Will continue to work on a problem even in the face of obstacles.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Identifies what actions the organization is willing to take.
  1. Identifies and mitigates risks while making informed, strategic decisions.
  1. Seeks to increase safety in the workplace.
  1. Develops policies for risk management.
  1. Takes steps to contain the costs of responding to such events.
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
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Competency
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Competency
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Competency
  1. Formulates compliance policies and procedures.
  1. Documents the performance of compliance audits.
  1. Keeps detailed records of compliance measures.
  1. Implements regulatory changes in a timely manner.
  1. Appoints a supervisory committee to ensure effective oversight of the organization.
Please feel free to provide any comments to help explain your answers?

Developing Others

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Is open to receiving feedback.
  1. Assesses employees' developmental needs.
  1. Encourages employees through recognition of positive changes in behavior.
  1. Creates a work environment that fosters positive feedback to employees.
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
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Exhibits this
Competency
  1. Adept at navigating within the culture of the department.
  1. Understands the current organizational culture.
  1. Gets things done through the department.
  1. Anticipates problems that may affect the department.
  1. Understands departmental policies and procedures.
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.