Passion to Learn - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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

• Will participate in training classes even if offered outside of normal working hours.
• Stays up-to-date on emerging technologies.
• Enhances value to the company through additional training and development.
• Inspires others to learn new things.
• Exhibits willingness to upgrade skills through additional training and education.

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

Comments:

Accountability

• Regularly leads the way when helping the team troubleshoot various issues.
• Sets clear performance measures.
• Holds self and others accountable for meeting the deadline.
• Works hard to ensure the success of the department.
• Sets clear expectations for performance.

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

Comments:

Time Management

• Uses a journal, log, or schedule to keep track of how much time is spent doing each task.
• Prioritizes completion of high-impact assignments.
• Persists with crucial assignments.
• Focuses on tasks that have high priority.
• Accomplishes more despite limitations in time constraints.

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

Comments:

Technology Use/Management

• Applies complex rules and regulations to maintain optimal system performance.
• Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
• Supports technical training and development of employees.
• Proficient in the use of technical systems and processes.
• Uses technology in decision making and problem solving.

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

Comments:

Others

• Works across boundaries within the organization.
• Is able to see issues from others' perspectives.
• Respects the opinions of other employees.
• Forms working relationships with employees from other departments.
• Consistently demonstrates ability and willingness to trust others.

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.