Passion to Learn - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Passion To Learn

What does Passion To Learn mean?
It means that ...
  • You take initiative for own learning and development.
  • You actively seek to learn by asking questions and listening to all store associates.
  • You hold self and associates accountable for goal achievement.
  • You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
  • You critique own performance and learn from experience as a source of continuous improvement.

To what extent does this person exhibit Passion To Learn?
Select from one of the ratings below.

Supervisory Skills

What does Supervisory Skills mean?
It means that ...
  • You encourage employees to achieve your full potential.
  • You are aware of the unique strengths of each employee.
  • You provide constructive, ongoing feedback.
  • You delegate effectively.
  • You maintain good working relationships with employees.

To what extent does this person exhibit Supervisory Skills?
Select from one of the ratings below.

Problem Solving

What does Problem Solving mean?
It means that ...
  • You identify and assess all potential responses to a problem.
  • You are a good problem solver and decision maker
  • You work cooperatively with others to solve problems.
  • You can develop innovative solutions to problems.
  • You are effective in solving problems.

To what extent does this person exhibit Problem Solving?
Select from one of the ratings below.


What does Teamwork mean?
It means that ...
  • You communicate well with team members.
  • You work cooperatively with others to solve problems.
  • You build consensus and share relevant information.
  • You facilitate team discussions and problem-solving
  • You identify and resolves conflicts within the team to increase team effectiveness

To what extent does this person exhibit Teamwork?
Select from one of the ratings below.

Strategic Focus

What does Strategic Focus mean?
It means that ...
  • You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
  • You communicate goals and objectives to employees.
  • You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
  • You understand your role within the organization.
  • You are able to decline a poor strategy by proposing alternate strategies.

To what extent does this person exhibit Strategic Focus?
Select from one of the ratings below.

Areas for Development

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