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

• Takes initiative for own learning and development.
• Holds self and associates accountable for goal achievement.
• Constantly enhances product knowledge through experimentation and play.
• Actively seeks to learn by asking questions and listening to all store associates.
• Critiques own performance and learns from experience as a source of continuous improvement.

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

Comments:

Accountability

• Implements and facilitates controls and processes that maintain the integrity of the organization.
• Defines roles, rights, and responsibilities of the team.
• Can be counted on to do what they say they are going to do.
• Develops goals and establishes objective measures of success.
• Is someone you can trust.

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

Comments:

Time Management

• Deals effectively with interruptions.
• Uses agendas when chairing or facilitating meetings.
• Sets a good balance between work and family life.
• Avoids distractions in the workplace.
• Completes high-priority work within required timelines.

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

Comments:

Technology Use/Management

• Proficient in the use of technical systems and processes.
• Adopts the implementation of new technology into the workplace.
• Maximizes the use of new technology to deliver products and services.
• Supports employee training and development initiatives regarding implementation of technology.
• Supports technical training and development of employees.

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

Comments:

Others

• Constructively receives criticism and suggestions from others.
• Treats others with respect and dignity.
• Works effectively with people from other departments.
• Respects the opinions of other employees.
• Is able to see issues from others' perspectives.

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.