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Creativity - 360 Degree Feedback Survey Sample #2





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

You have been selected to provide feedback on the employee listed above. 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 working with this employee over the last twelve months and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Creativity, Communication Skills, Continual Improvement, Punctuality, Decision Making, Technical, Safety, Trustworthy, Negotiation, Business Acumen, Vision
Sample Result Document:
Sample Results
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.

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

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is creative.
  1. Inspires creativity in their team.
  1. Adds value to the department/organization.
  1. Conceives, implements and evaluates ideas.
  1. Develops solutions to challenging problems.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Confidently communicates across all organizational levels, including external stakeholders.
  1. Communicates the vision of the organization to all employees.
  1. Listens attentively and without interrupting team members and customers
  1. Makes eye contact with the person they are speaking with.
  1. Welcomes input and suggestions from others.
What are your suggestions for how [Participant Name] can make improvements
in Communication Skills?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to improve work processes and procedures.
  1. Analyzes processes to determine areas for improvement.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
What are your suggestions for how [Participant Name] can make improvements
in Continual Improvement?

Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Starts meetings on time.
  1. Arrives to meetings on time.
  1. Starts the workday when scheduled.
  1. Responds to requests for information in a timely manner.
  1. Conducts appointments at scheduled start time.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is open to listening to others who may have different ideas.
  1. Evaluates information before making a final decision.
  1. Makes decisions independently (without having to be told what or how).
  1. Makes good decisions for the department.
  1. Makes creative decisions.
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Seeks information from others as needed.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Knows how to produce high quality products/work.
What are your suggestions for how [Participant Name] can make improvements
in Technical?

Safety

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Identifies predictable hazards in the workplace.
  1. Keeps accurate safety records.
  1. Participates in safety training when offered.
  1. Mitigates hazards and safety issues that arise.
  1. Supports safety programs and procedures.
What are your suggestions for how [Participant Name] can make improvements
in Safety?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Consistently keeps commitments.
  1. Delivers on promises made.
  1. Takes care to maintain confidential information.
What are your suggestions for how [Participant Name] can make improvements
in Trustworthy?

Negotiation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Maintains good interpersonal relationships with representatives from the other party.
  1. Able to adapt to dynamic situations created by new information or unexpected challenges.
  1. Justifies viewpoints using strong and credible data.
  1. Influences others through rational argument and persuasion.
  1. Engages in questioning to obtain necessary information and examine various alternatives.
What are your suggestions for how [Participant Name] can make improvements
in Negotiation?

Business Acumen

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Analyzes current business practices to make better informed decisions.
  1. Shares information among teams and departments.
  1. Identifies new business opportunities.
  1. Able to correctly assess current/estimated valuations.
  1. Conducts thorough market research to understand industry trends, customer needs, and competitive landscapes.
What are your suggestions for how [Participant Name] can make improvements
in Business Acumen?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Creates and executes a strategic vision that drives the company's growth forward.
  1. Fosters a leadership vision that promotes innovation and growth.
  1. Supports a culture of the department that is willing to implement the company's vision.
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Develops an inspiring and ambitious vision of growth for the organization's future.
What are your suggestions for how [Participant Name] can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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