Passion to Learn - 360 Degree Feedback Survey Sample #12

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.

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

• Is open minded and curious about learning new skills.
• Holds self and associates accountable for goal achievement.
• Enjoys learning new skills and techniques.
• Embraces new technology and procedures.
• Is committed to enhancing their own knowledge and skills.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Accountability

• Takes responsibility for errors in the production line.
• Welcomes the responsibility for meeting the broad range of needs of stakeholders and clients.
• Takes personal responsibility for the quality of their work.
• Reviews performance to determine areas for improvement.
• Can be counted on to do their role well.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Time Management

• Stops doing things that have suddenly become unnecessary or irrelevant.
• Is good at keeping track of time and avoiding getting behind schedule.
• Sets time limits on how much time is spent on particular tasks so that one task does not dominate the schedule.
• Delegates as many repetitive tasks as possible to maximize the amount of work being done.
• Addresses the most pressing needs at the beginning of the shift.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Technology Use/Management

• Supports technical training and development of employees.
• Understands and is committed to implementing new technologies.
• Uses technology in decision making and problem solving.
• Maximizes the use of new technology to deliver products and services.
• Supports employee training and development initiatives regarding implementation of technology.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Others

• Works across boundaries within the organization.
• Forms working relationships with employees from other departments.
• Supports the efforts of other employees in implementing solutions to problems.
• Is able to see issues from others' perspectives.
• Includes others in the decision making processes.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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