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)
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.


Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops solutions to challenging problems.
  1. Creates a lot of new ideas.
  1. Adds value to the department/organization.
  1. Inspires creativity in their team.
  1. Is creative and inspirational.
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. An effective listener who is responsive to information needs.
  1. Communicates with department leadership
  1. Able to deliver presentations.
  1. Communicates effectively with all levels of the organization.
  1. Presents issues, ideas, and strategy concisely and clearly.
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. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to expand current job responsibilities.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to improve work processes and procedures.
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. Maintains an efficient schedule of activities.
  1. Arrives to meetings on time.
  1. Starts the workday when scheduled.
  1. Responds to requests for information in a timely manner.
  1. Avoids making personal phone calls during working hours.
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. Makes decisions independently (without having to be told what or how).
  1. Willing to change their strategy if new information arises.
  1. Decides which short- and long-term goals should be created.
  1. Makes decisions that support the department's goals and objectives.
  1. Weighs the pros and cons of 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. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  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. Ensures compliance with safety regulations.
  1. Participates in safety training when available.
  1. Participates in safety training as applicable.
  1. Develops a sustainable safety culture.
  1. Seeks to reduce the likelihood of accidents.
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. Builds and maintains the trust of others.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Delivers on promises made.
  1. Takes ownership, delivers on commitments
  1. Demonstrates congruence between statements and actions.
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. Influences others through rational argument and persuasion.
  1. Conducts necessary preparations before engaging in negotiations.
  1. Able to say "no" when it is essential to maintaining quality and high standards.
  1. Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
  1. Establishes clear communications to avoid misunderstandings.
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. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Understands impacts of domestic & global market events & issues.
  1. Can effectively interpret and analyze market data.
  1. Identifies new business opportunities.
  1. Understands and applies business and financial principles.
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. Communicates a vision of where the Company needs to be in the future.
  1. Communicates the vision and strategy of [Company]
  1. Creates a positive vision of the future for the Company.
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Works to support the strategy of [Company]
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.