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)
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


Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You inspire creativity in your team.
  1. You develop solutions to challenging problems.
  1. You are creative and inspirational.
  1. You create a lot of new ideas.
  1. You conceive, implement and evaluate ideas.
  1. You add value to the department/organization.
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 address safety issues immediately.
  1. I rapidly adapt to changes in the situation.
  1. I gladly accept new challenges and work on them with urgency.
  1. You work across organizational lines and boundaries to attain goals.
  1. You prepare equipment at the start of the shift.
  1. You regularly conduct preventative maintenance on the equipment.
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 lead team to set goals, solve problems, and accomplish tasks.
  1. You seek input and ideas from employees by involving them in decisions.
  1. You are a highly effective supervisor.
  1. You give inspiring presentations or discussions.
  1. You hold team members accountable to commitments made
  1. You coach others and prepares them for current and future business demands.
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. I stress the importance of meeting production quotas.
  1. You use the established performance review forms to maintain consistency in reviews.
  1. You recommend employees for distinguished service awards if warranted.
  1. You inform team members how their performance compares to stated goals.
  1. I record production quotas on a daily basis.
  1. I make sure the team's goals are met.
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 a high attention to detail.
  1. You are enthusiastic about taking on challenging projects.
  1. You accurately implement contract provisions.
  1. You have strong technical/computer skills.
  1. You complete reports on-time.
  1. You implement and use performance measures.
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 are aware of the schedule and the importance of being on-time.
  1. You recognize and respond to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. You begin tasks as soon as possible.
  1. You effectively manage time to stay on schedule.
  1. You can easily switch between tasks when a critical incident requires attention.
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 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.
  1. You adopt the implementation of new technology into the workplace.
  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 support technical training and development of employees.
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 work in a way that makes others want to work with you.
  1. You set a good example
  1. You are responsible for setting the vision of the department.
  1. You complete assigned work tasks.
  1. You are a person others can trust.
  1. You take personal responsibility for results.
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 create opportunities for professional development.
  1. You create a work environment that fosters positive feedback to employees.
  1. You set performance objectives for subordinates that encourages development opportunities.
  1. You recognize and celebrates accomplishments of others.
  1. You are open to receiving feedback.
  1. You support the successes of other employees.
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 encourage individuals to seek areas of common ground.
  1. I listen to individuals as they offer their unique perspectives on the situation.
  1. You help others to see perceptions that they have about an issue.
  1. You deal effectively with employee grievances.
  1. I seek to develop a shared understanding of the issues involved.
  1. You persuade others to accept personal transformation.
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.