Passion to Learn - 360 Degree Feedback Survey Sample #10

360 Feedback 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)

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 comment section for that competency. 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.

Passion To Learn

  • Demonstrates through personal behavior the commitment to high standards of performance.
  • Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  • Takes initiative for own learning and development.
  • Actively seeks to learn by asking questions and listening to all store associates.
  • Persists until goals are achieved and commitments are met.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?


  • Able to work effectively with new people and new teams.
  • Is proactive and takes steps to prepare for changes in the workplace.
  • Able to quickly learn new ways of performing their job.
  • Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
  • Develops insights and applies innovative solutions to projects and problems.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Commitment To Result

  • Maintains persistence and dedication to achieving results.
  • Able to focus on a task even when working alone.
  • Creates a sense of urgency among the store team members to complete activities, which drive sales.
  • Coordinates all department activities into a cohesive team effort.
  • Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?


  • Encourages others to work safely.
  • Develops a sustainable safety culture.
  • Supports our company's safety programs.
  • Identifies and addresses safety needs.
  • Ensures that all supervisors are aware of regulatory and compliance measures.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

Developing Others

  • Assigns tasks and responsibilities to develop skills of others.
  • Develops employees by offering and encouraging them to take on new or additional responsibilities.
  • Sets performance objectives for subordinates that encourages development opportunities.
  • Encourages employees through recognition of positive changes in behavior.
  • Assesses employees' developmental needs.
If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

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