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HR-Survey > 360-Degree Feedback > Competency Model > Continual Learning
Continual Learning - 360 Degree Feedback Survey Sample #8
November 2, 2025
Self-Assessment Instructions
Questionnaires Measuring Continual Learning:
You have been selected to complete a self-assessment questionnaire Survey 1 (4-point scale; Competency Comments)
as part of a 360-degree feedback assessment. Your feedback is an Survey 2 (4-point scale; Competency Comments)
important part of Yes's leadership development process. This tool is Survey 3 (5-point scale; Competency Comments)
intended to gather broad feedback in the core competencies and Survey 4 (5-point scale; radio buttons)
role responsibilities that are important for the on-going success of Survey 5 (4-point scale; words)
our organization. Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Respond to the assessment form based on your work experiences Survey 8 (3-point scale; Agree/Disagree words; N/A)
during the previous 12 months. Your responses will be merged with Survey 9 (3-point scale; Strength/Development; N/A)
other people's feedback and presented to you in your on-going Survey 10 (Comment boxes only)
development. Comments from others will be shared anonymously, as Survey 11 (Single rating per competency)
written. Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Competencies Included:
Continual Learning, Cultural Awareness, Clarity,
Collaboration, Coaching, Partnering/Networking,
Entrepreneurship, Vision
Method of use: As part of the review process, managers will receive
feedback from peers and staff. It is recognized that not all Sample Result Document:
participants will be able to assess an individual's performance in all Sample Results
areas. The feedback received will be utilized as input to the
manager's performance and on-going development plan.
You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later
to pick up where you left off. When you are done, press the Complete button.
When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.
If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.
Please complete your response by November 16.
Continual Learning Agree Unsure Disagree N/A
1. You pursue self-improvement through continual
Agree Unsure Disagree N/A
learning.
2. You take charge of your training and skills
Agree Unsure Disagree N/A
enhancement.
3. You improve on your skill sets. Agree Unsure Disagree N/A
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4. You are open to new ideas and concepts. Agree Unsure Disagree N/A
5. I view setbacks as opportunities to learn from. Agree Unsure Disagree N/A
Cultural Awareness Agree Unsure Disagree N/A
6. I am an advocate for others with different cultural
Agree Unsure Disagree N/A
backgrounds.
7. You hire individuals with different cultural
Agree Unsure Disagree N/A
backgrounds for the department.
8. You seek feedback from employees of different
Agree Unsure Disagree N/A
backgrounds to improve team inclusivity.
9. You respect the views offered by individuals with
Agree Unsure Disagree N/A
different cultural backgrounds.
10. You are sensitive to the similarities and differences
Agree Unsure Disagree N/A
that exist between cultures.
Clarity Agree Unsure Disagree N/A
11. You write clear job descriptions for positions in the
Agree Unsure Disagree N/A
organization.
12. You check details thoroughly. Agree Unsure Disagree N/A
13. You clearly define work objectives for employees. Agree Unsure Disagree N/A
14. You communicate with clarity and efficiency. Agree Unsure Disagree N/A
15. You adjust communication methods to the needs of
Agree Unsure Disagree N/A
the audience.
Collaboration Agree Unsure Disagree N/A
16. You have the confidence and trust of other partners. Agree Unsure Disagree N/A
17. You work with other experts to solve problems. Agree Unsure Disagree N/A
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18. I collaborate across departmental boundaries and
finds common ground with a wide range of Agree Unsure Disagree N/A
stakeholders.
19. You respect individual differences that contribute to
Agree Unsure Disagree N/A
solving problems.
20. I share knowledge, ideas and resources to achieve
Agree Unsure Disagree N/A
quicker success.
Coaching Agree Unsure Disagree N/A
21. You provide clear, motivating, and constructive
Agree Unsure Disagree N/A
feedback.
22. You listen to ideas and suggestions from others. Agree Unsure Disagree N/A
23. You ask questions to help employees see the
Agree Unsure Disagree N/A
situation in a new light.
24. I create a supportive environment where employees
feel confident exploring new ideas and tackle Agree Unsure Disagree N/A
challenges.
25. You develop the skills and capabilities of others. Agree Unsure Disagree N/A
Partnering/Networking Agree Unsure Disagree N/A
26. I collaborate effectively with team members to
Agree Unsure Disagree N/A
achieve shared objectives and meet collective needs.
27. I use networks of personal contacts to gain
introductions to others who may have valuable Agree Unsure Disagree N/A
information.
28. I successfully identify complementary and
compatible strategic partners with colleagues in the Agree Unsure Disagree N/A
industry.
29. I enter into licensing agreements to share
Agree Unsure Disagree N/A
intellectual property.
30. I engage in partnerships that produce significant
Agree Unsure Disagree N/A
results.
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Entrepreneurship Agree Unsure Disagree N/A
31. You can work effectively in an environment of
Agree Unsure Disagree N/A
uncertainty.
32. You take the initiative to complete tasks. Agree Unsure Disagree N/A
33. You encourage dynamic growth opportunities. Agree Unsure Disagree N/A
34. You maintain a high level of energy to respond to
Agree Unsure Disagree N/A
demands of the job.
35. You have a strategic awareness on how to promote
Agree Unsure Disagree N/A
the organization.
Vision Agree Unsure Disagree N/A
36. You lead with a growth-oriented mindset, driving
Agree Unsure Disagree N/A
innovation and expansion.
37. I committed to turning the strategic vision into
reality by meticulously planning, coordinating, and Agree Unsure Disagree N/A
overseeing the implementation of an action plan.
38. You chart a bold course for the department's rapid
Agree Unsure Disagree N/A
evolution and expansion.
39. I assign the vision implementation to team
Agree Unsure Disagree N/A
members.
40. You direct team efforts towards key elements of the
Agree Unsure Disagree N/A
vision.
41. Overall, please rate the effectiveness of [Participant Name Here].
5- Very Effective
4- Effective
3- Neither
2- Ineffective
1- Very Ineffective
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42. Strengths
43. Areas for Development
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.
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