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Passion to Learn - 360 Degree Feedback Survey Sample #6





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

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. 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 aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
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.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



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Passion To Learn

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is open minded and curious about learning new skills.
  1. Takes advantage of training opportunities when they arise.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Embraces new technology and procedures.


Continual Improvement

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand and learn new job skills.
  1. Promotes training and development opportunities to enhance job performance.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.


Professional Development

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Seeks opportunities for professional development.
  1. Seeks opportunities for continuous learning.
  1. Allows employees to fully participate in employee training and professional development.
  1. Contributing fully to the extent of their skills


Persuasion and Influence

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Understanding what others need.
  1. Seeks to obtain consensus or compromise.
  1. Has excellent influencing/negotiating skills.
  1. Able to express own goals and needs.
  1. Persuades others to consider alternative points of view.


Innovation

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Empowers employees with the technical skills essential for driving innovation and achieving strategic goals.
  1. Creates a safe environment for idea-sharing.
  1. Helps to identify and create value from innovation.
  1. Fosters a culture of creativity and curiosity by actively listening to and considering new ideas and opportunities.
  1. Takes risks that often yield rewards.


Achievement

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Accepts setbacks and challenges as improvement opportunities
  1. Successfully launched the ABC project.
  1. Takes immediate action of projects that fall behind schedule.
  1. Is flexible in adjusting priorities to meet the demands of changing situations.
  1. Is results oriented.


Excellence

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is planful and organized.
  1. Keeps themselves and others focused on constant improvement.
  1. Produces high quality work.
  1. Demonstrates the analytical skills to do their job.
  1. Can be counted on to add value wherever they are involved.


Interpersonal Skills

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Demonstrates positive behaviors for others to follow.
  1. Successfully resolves conflicts and grievances to a win-win solution.
  1. Offers praise to colleagues who have successfully completed major projects.
  1. Is willing to lend a hand to those in the department who need help.
  1. Values the input from coworkers.


Developing Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Provides constructive feedback to others.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Is open to receiving feedback.
  1. Recognizes and celebrates accomplishments of others.
  1. Tries to ensure employees are ready to move to the next level.


Business Acumen

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Evaluates risks in terms of their business impact and likelihood of occurrence.
  1. Engages in strategic alliances with valued partners.
  1. Incorporates innovative approaches and being adaptable to change.
  1. Aware of regulations that impact our business.
  1. Understands the financial metrics used by the department.


Planning

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Able to develop logistics plans to move material through a multi-step supply chain.
  1. Plans for future staffing needs.
  1. Delegates role to team members to accomplish goals.
  1. Develops a strategic plan to reduce costs in the department.
  1. Develops plans to ensure the smooth operation of the supply chain.



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






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.