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.

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Passion To Learn

• Creates an environment that supports personal development and exploration.
• Exhibits willingness to upgrade skills through additional training and education.
• Stays up-to-date on emerging technologies.
• Takes advantage of training opportunities when they arise.
• Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.

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

Comments:

Accountability

• Demonstrates a commitment to taking responsibility for actions.
• Takes responsibility for seeing the project through to completion.
• Takes full responsibility for results.
• Encourages employees to take on greater responsibilities.
• Holds self and others accountable for meeting the deadline.

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

Comments:

Time Management

• Excellent at keeping track of time.
• Effectively delegates tasks to maximize the use of time.
• Stays on track by effectively using the project schedule.
• Uses agendas when chairing or facilitating meetings.
• Manages the workload effectively in order to stay on schedule.

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

Comments:

Technology Use/Management

• Understands and is committed to implementing new technologies.
• Maximizes the use of new technology to deliver products and services.
• Applies complex rules and regulations to maintain optimal system performance.
• Supports technical training and development of employees.
• Adopts the implementation of new technology into the workplace.

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

Comments:

Others

• Able to see issues from others' perspectives.
• Includes others in the decision making processes.
• Treats others with respect and dignity.
• 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.