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Passion to Learn - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

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)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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 by .

Thank you for your participation in the survey.

Management Team



Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Critiques own performance and learns from experience as a source of continuous improvement.
  1. Is motivated by the desire to be "the best".
  1. Constantly enhances product knowledge through experimentation and play.
  1. Persists until goals are achieved and commitments are met.


Continual Improvement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Looks for ways to improve work processes and procedures.
  1. Analyzes processes to determine areas for improvement.
  1. Open to the suggestions from others.
  1. Looks for ways to expand current job responsibilities.


Creativity

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates a lot of new ideas.
  1. Adds value to the department/organization.
  1. Conceives, implements and evaluates ideas.
  1. Develops solutions to challenging problems.
  1. Inspires creativity in their team.


Achievement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
  1. Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
  1. Completes work to a high technical standard
  1. Follows-up and takes action when goals are not met to ensure better results in the future.
  1. Accepts setbacks and challenges as improvement opportunities


Clarity

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Avoids creating ambiguity or mixed messages.
  1. Avoids stating unclear or conflicting goals.
  1. Clarifies problems and their causes to help employees correct them.
  1. Checks details thoroughly.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.


Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Addresses issues quickly before they develop into major problems.
  1. Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  1. Understands the applicable regulations and laws that impact our business.
  1. Keeps informed of various regulations and procedures.
  1. Explains regulations and procedures to others as required.


Fiscal Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Monitors spending.
  1. Effective in using Company's resources.
  1. Provides budgeting and accounting support to the Company.
  1. Develops budgets and plans for various programs and initiatives.
  1. Develops of the department's annual budget.



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






  2. Strengths


  3. Areas for Development


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