Passion to Learn - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

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

• Creates an environment that supports personal development and exploration.
• Is committed to enhancing their own knowledge and skills.
• Enjoys learning new skills and techniques.
• Will participate in training classes even if offered outside of normal working hours.
• Is open to feedback from others.

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

Adaptability

• Able to work effectively with new people and new teams.
• Accommodates changes as needed.
• Is flexible when dealing with changes.
• Adjusts plans to meet new situations.
• Adjusts plans to meet the needs of new constraints.

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

Commitment To Result

• Able to focus on a task even when working alone.
• Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
• Creates a sense of urgency among the store team members to complete activities, which drive sales.
• Maintains persistence and dedication to achieving results.
• Takes immediate action toward goals.

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

Safety

• Identifies predictable hazards in the workplace.
• Is not afraid to question a potential safety issue observed in the workplace.
• Committed to safety in the workplace.
• Supports our company's safety programs.
• Keeps accurate safety records.

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

Developing Others

• Creates a work environment that fosters positive feedback to employees.
• Creates opportunities for professional development.
• Is open to receiving feedback.
• Develops employees by offering and encouraging them to take on new or additional responsibilities.
• Provides constructive feedback to others.

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.