Passion to Learn - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

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Passion To Learn

• Enhances value to the company through additional training and development.
• Inspires others to learn new things.
• Enjoys learning new skills and techniques.
• Embraces new technology and procedures.
• Will participate in training classes even if offered outside of normal working hours.

If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?

Adaptability

• Uses a variety of tools and equipment to service the machines/products.
• Embraces changes in technology and automation.
• Works effectively in dynamic and changing work environments.
• Is aware of changes in the environment.
• Able to meet the needs of various stakeholders.

If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Commitment

• Redirects attention back to core commitments when conversations or tasks drift off course.
• Ignites enthusiasm by connecting daily tasks to the broader mission, making employees feel their work truly matters.
• Maintains a strong commitment to continuous improvement.
• Rallies diverse perspectives, inspiring unity by showing how differences strengthen the team's commitment.
• Creates a compelling vision that employees see themselves in, transforming organizational goals into personal meaning.

If [Participant Name] were to make improvements in Commitment, what are your suggestions for how he/she can improve this?

Safety

• Identifies predictable hazards in the workplace.
• Develops a culture of safety.
• Supports safety programs and procedures.
• Is not afraid to question a potential safety issue observed in the workplace.
• Encourages others to attend safety training.

If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

Developing Others

• Creates opportunities for professional development.
• Creates a work environment that fosters positive feedback to employees.
• Tries to ensure employees are ready to move to the next level.
• Assigns tasks and responsibilities to develop skills of others.
• 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].

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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