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

• Exhibits willingness to upgrade skills through additional training and education.
• Demonstrates a willingness to participate in continuing education courses.
• Is committed to enhancing their own knowledge and skills.
• Demonstrates through personal behavior the commitment to high standards of performance.
• Holds self and associates accountable for goal achievement.

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

Comments:

Accountability

• Defines roles, rights, and responsibilities of the team.
• Defines roles, rights, and responsibilities of employees.
• Develops goals and establishes objective measures of success.
• Acts like an owner when they make decisions.
• Is someone you can trust.

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

Comments:

Time Management

• Focuses on tasks that have high priority.
• Prioritizes tasks to identify immediate and long-term objectives.
• Deals effectively with interruptions.
• Completes tasks ahead of schedule.
• Uses agendas when chairing or facilitating meetings.

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

Comments:

Technology Use/Management

• Supports employee training and development initiatives regarding implementation of technology.
• Uses technology in decision making and problem solving.
• Proficient in the use of technical systems and processes.
• Adopts the implementation of new technology into the workplace.
• 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.
• Consistently demonstrates ability and willingness to trust others.
• Respects the opinions of other employees.
• Works effectively with people from other departments.
• Works across boundaries within the organization.

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.