Passion to Learn - 360 Degree Feedback Survey Sample #8

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)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Passion To Learn

Agree Unsure Disagree N/A
  1. Is motivated by the desire to be "the best".
  1. Takes initiative for own learning and development.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Constantly enhances product knowledge through experimentation and play.

Supervisory Skills

Agree Unsure Disagree N/A
  1. Treats all staff equitably.
  1. Promotes teamwork and cooperation within the department.
  1. Appropriately recognizes and rewards employees.
  1. Resolves personnel problems quickly and effectively.
  1. Maintains good working relationships with employees.


Agree Unsure Disagree N/A
  1. Tells subordinates what to do, not how to do it.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Allows subordinates to use their own methods and procedures.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.


Agree Unsure Disagree N/A
  1. Encourages others to produce the highest quality work products.
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
  1. Always strives to produce the highest quality work products.
  1. Encourages employees to produce the best quality products.
  1. Encourages others to achieve high quality standards.

Change Management

Agree Unsure Disagree N/A
  1. Adopts changes to set and example for others to follow.
  1. Works cooperatively with others to implement changes.
  1. Addresses organizational and departmental resistance to changes.
  1. Assists others in understanding changes to the organization.
  1. Effective in implementing new organizational vision and values.

Managing Risk

Agree Unsure Disagree N/A
  1. Maintains open communication with other departments.
  1. Seeks to retain the best and brightest employees.
  1. Seeks to maintain the long-term viability of the Company.
  1. Works within constraints of the organization.
  1. Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.


Agree Unsure Disagree N/A
  1. Understands and adheres to internal and external regulations.
  1. Follows all safety regulations and procedures.
  1. Understands the applicable regulations and laws that impact our business.
  1. Explains regulations and procedures to others as required.
  1. Ensures regulations are followed as required.

Conflict Management

Agree Unsure Disagree N/A
  1. Tries to understand others' point of view before making judgments
  1. Helps employees to think through alternative ways to resolve conflict situations.
  1. Discusses conflict situations with supervisor.
  1. Clearly expresses expectations to others.
  1. Assists team members by helping them see the other point of view.

Business Acumen

Agree Unsure Disagree N/A
  1. Applies the knowledge of work processes to influence the achievement of business goals
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Able to align resources to meet the business needs of the company.
  1. Understands complex issues and problems.
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance

Organizational Fluency

Agree Unsure Disagree N/A
  1. Gets things done through the department.
  1. Adept at navigating within the culture of the department.
  1. Understands departmental policies and procedures.
  1. Effective in communicating with others within the organization.
  1. Able to use corporate politics to advance department objectives.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.