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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. I build buffer time into schedule to allow for reflection and idea development.
  1. You commit to continuous learning; understanding that creative outcomes are derived from learn experiences.
  1. You allocate resources to support the implementation of new solutions.
  1. I work across departments to stimulate creative ideas.
  1. You create a lot of new ideas.
  1. I see learning as the engine of creativity, fueling fresh perspectives and novel ideas.
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. I create opportunities and then take advantage of them.
  1. You make effective decisions, even when under pressure.
  1. I delegate decision-making authority to team members.
  1. I avoid "Analysis Paralysis" through action.
  1. You work quickly when faced with difficult problems.
  1. You will take action to address a problem rather than to wait to confer with others about the situation.
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 say "no" to goals that will detract from the organization's objectives.
  1. You enhance the quality and productivity of the team.
  1. You foster team cooperation, builds trust among team members and creates commitment to team goals.
  1. You hold core team members and DMs accountable to commitments made
  1. You signal commitment to critical processes.
  1. You help employees set clear action steps to improve performance.
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 use pre-established key benchmarks to measure performance.
  1. I stress the importance of meeting production quotas.
  1. You regularly conduct performance reviews of all employees.
  1. I hold the team accountable for meeting objectives.
  1. You measure performance of goals and objectives.
  1. I administer the performance rewards program in a fair and equitable manner.
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. I greet visitors and determine whether they should be given access to specific individuals.
  1. You proactively identify and address the needs of colleagues, clients, or stakeholders to providing effective support.
  1. I make travel arrangements and plans for executives.
  1. You answer phone calls and direct calls to appropriate parties or take messages.
  1. I carefully listen to what others are saying.
  1. You have a high attention to detail.
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 organize tasks for the most efficient order of completion.
  1. You can switch focus between tasks as needed.
  1. You use a scheduler/planner to keep tasks organized and on time.
  1. You avoid procrastinating or delaying.
  1. You complete multiple tasks simultaneously.
  1. You recognize and respond to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
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 support employee training and development initiatives regarding implementation of technology.
  1. You support technical training and development of employees.
  1. You are proficient in the use of technical systems and processes.
  1. You adopt the implementation of new technology into the workplace.
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. Your behavior is ethical and honest.
  1. You are responsible for setting the vision of the department.
  1. You set a good example.
  1. You work in a way that makes others want to work with you.
  1. You set a good example
  1. You set high personal standards of performance.
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 are open to receiving feedback.
  1. You set performance objectives for subordinates that encourages development opportunities.
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
  1. You create a work environment that fosters positive feedback to employees.
  1. You recognize and celebrates accomplishments of others.
  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. You help individuals feel acknowledged and build trust in the resolution process.
  1. I demonstrate empathy and insight by recognizing what's driving the conflict beneath the surface.
  1. You facilitate dialog between team members.
  1. You share competing viewpoints to expand viewpoints.
  1. I use informal and formal feedback loops to detect brewing tensions and intervene constructively.
  1. You are able to settle disputes equitably.
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.