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

• Inspires others to learn new things.
• Takes advantage of training opportunities when they arise.
• Demonstrates a willingness to participate in continuing education courses.
• Enhances value to the company through additional training and development.
• Creates an environment that supports personal development and exploration.

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

Adaptability

• Adjusts priorities to changing business goals.
• Embraces change and fosters an open-minded environment.
• Adapts to diversity within the team.
• Adjusts plans to meet new situations.
• Is aware of changes to team personnel.

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.
• Takes immediate action toward goals.
• Coordinates all department activities into a cohesive team effort.
• Creates a sense of urgency among the store team members to complete activities, which drive sales.
• Maintains persistence and dedication to achieving results.

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

Safety

• Develops a sustainable safety culture.
• Ensures that all supervisors are aware of regulatory and compliance measures.
• Supports our company's safety programs.
• Develops a strong safety culture.
• Identifies predictable hazards in the workplace.

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.
• Encourages employees through recognition of positive changes in behavior.
• Recognizes and celebrates accomplishments of others.
• Supports the successes of other employees.
• 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.