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Creativity - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Creativity:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going 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.

Competencies Included:
Creativity, Action, Leadership, Managing Performance, Administrative Skill, Juggling Multiple Responsibilities, Technology Use/Management, Responsible, Developing Others, Conflict Management
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are creative and inspirational.
  1. You create a lot of new ideas.
  1. You are creative.
  1. You add value to the department/organization.
  1. You conceive, implement and evaluate ideas.
  1. You develop solutions to challenging problems.
If you were to make improvements in Creativity, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You work at a quick pace.
  1. You prepare equipment at the start of the shift.
  1. I take steps to prepare for the start of the project.
  1. I take advantage of changes to the current situation.
  1. I take proactive steps to address potential issues before they become a problem.
  1. You avoid procrastinating.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You give direct, constructive, and actionable feedback.
  1. You recognize individual and team accomplishments and reward them appropriately.
  1. You communicate calmly and honestly even when stressed.
  1. You give inspiring presentations or discussions.
  1. You provide structure.
  1. You influence the decisions made at the Company.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You use timely and appropriate corrective/disciplinary actions.
  1. You set specific and measurable goals for others and follows through to completion.
  1. I implement remediation plans as needed.
  1. You identify specific actions to be addressed through the remediation plan.
  1. I review monthly or weekly reports of quantitative metrics (sales/production) to measure performance level.
  1. You recognize and value good performance.
If you were to make improvements in Managing Performance, what are your suggestions for how you can improve this?

Administrative Skill

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You have strong organizational skills to keep the workspace and department in order
  1. You are able to develop, justify and present a budget.
  1. You take responsibility for decisions.
  1. You complete reports on-time.
  1. You are enthusiastic about taking on challenging projects.
  1. You accurately implement contract provisions.
If you were to make improvements in Administrative Skill, what are your suggestions for how you can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. You bounce back from daily crisis, disappointments and frustrations.
  1. You consistently use a scheduler/planner.
  1. You are aware of the schedule and the importance of being on-time.
  1. You effectively manage time to stay on schedule.
  1. You plan and organize continuously while performing all other responsibilities and activities.
If you were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how you can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You use technology in decision making and problem solving.
  1. You maximize the use of new technology to deliver products and services.
  1. You are proficient in the use of technical systems and processes.
  1. You adopt the implementation of new technology into the workplace.
  1. You apply complex rules and regulations to maintain optimal system performance.
  1. You identify gaps between actual and needed technical competencies and provide recommendations for required training.
If you were to make improvements in Technology Use/Management, what are your suggestions for how you can improve this?

Responsible

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You set high personal standards of performance.
  1. You set a good example
  1. You act as a resource without removing individual responsibility.
  1. You take personal responsibility for results.
  1. You set a good example.
  1. You complete assigned work tasks.
If you were to make improvements in Responsible, what are your suggestions for how you can improve this?

Developing Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You support the successes of other employees.
  1. You try to ensure employees are ready to move to the next level.
  1. You set performance objectives for subordinates that encourages development opportunities.
  1. You create a work environment that fosters positive feedback to employees.
  1. You encourage employees through recognition of positive changes in behavior.
  1. You create opportunities for professional development.
If you were to make improvements in Developing Others, what are your suggestions for how you can improve this?

Conflict Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I prevent minor issues from escalating into major problems.
  1. You combine different ideas and viewpoints.
  1. I ensure that the basic needs of each party are satisfied.
  1. I steer the process towards compromise and conflict resolution.
  1. You help others avoid misperceptions.
  1. I encourage individuals to seek areas of common ground.
If you were to make improvements in Conflict Management, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.