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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. Develops imaginative approaches that better serve stakeholder needs.
  1. Creates ideas that add value.
  1. My department implements my creative ideas.
  1. Creatively solves difficult problems.
  1. Inspires creativity in their team.
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. Considers the audience in how the communication is presented.
  1. Transforms complicated ideas into simple ones.
  1. Checks for understanding throughout conversations or group presentations/discussions
  1. Addresses issues of key importance to stakeholders.
  1. Provides follow-up information and seeks to avoid misunderstandings.
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. Promotes training and development opportunities to enhance job performance.
  1. Analyzes processes to determine areas for improvement.
  1. Fosters a culture of open communication and continuous improvement.
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand current job responsibilities.
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. Avoids making personal phone calls during working hours.
  1. Starts the workday when scheduled.
  1. Conducts appointments at scheduled start time.
  1. Responds to requests for information in a timely manner.
  1. Maintains an efficient schedule of activities.
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. Stays true to values and ethical standards even when decisions are difficult or unpopular.
  1. Acknowledges how personal preferences or blind spots may skew judgment and takes steps to counteract them.
  1. Remains focused on the immediate goal when making decisions.
  1. Considers the ethical implications 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. Seeks information from others as needed.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  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. Creates accurate and effective measures of safety.
  1. Supports safety programs and procedures.
  1. Develops a culture of safety.
  1. Commits adequate resources toward safety measures.
  1. Encourages others to work safely.
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. Communicates an understanding of the other person's interests, needs and concerns.
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Consistently keeps commitments.
  1. Demonstrates congruence between statements and actions.
  1. Works in a way that makes others want to work with her/him.
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. Adapts strategies to better meet the needs of the moment.
  1. Able to adapt to changing situations.
  1. Able to collaborate with others in solving problems to create solutions that satisfy both parties' interests.
  1. Establishes a protocol/structure at the beginning of the negotiations for the development of issues.
  1. Stays focused and avoids getting sidetracked by less important issues.
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. Implements long-term strategic solutions to critical problems.
  1. Seeks to better understand other areas of the company, including their operations, personnel, and output.
  1. Creates strategic plans that conform with regulations and industry guidelines.
  1. Develops business plans that are forward looking.
  1. Able to correctly assess current/estimated valuations.
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. Envisions and articulates a clear path for the department's accelerated growth over the next year.
  1. Tasks employees with realizing the vision.
  1. Transforms the department's vision into a clearly defined, actionable set of goals and a comprehensive strategic plan.
  1. Crafts a compelling roadmap for the department's future.
  1. Develops and executes a strategic vision for the organization.
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.