Creativity - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Management Team

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Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Generates ideas that surprise, delight, or shift perspectives.
Generates original concepts that challenge conventional thinking.
Facilitates forums for exchanging creative ideas across roles and disciplines.
Generates new ideas and solutions.
Finds creative ways to solve problems and issues.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses creativity, problem-solving skills, and available resources to overcome challenges and deliver results.
Is not afraid to take corrective action when necessary.
Adapts quickly and finds alternative ways to achieve goals.
Thinks outside the box to find innovative solutions to problems.
Initiates the commencement of work on projects.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds trust by acknowledging and valuing each employee's cultural identity.
Shows respect in daily interactions
Effective in working with individuals with a variety of cultural backgrounds.
Actively listens to other employees' stories about their culture.
Demonstrates humility when learning about unfamiliar cultural customs or beliefs.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Shown significant improvement in job performance.
Has great overall performance
Sets a high standard for job performance.
Effectively organizes resources and plans
Works effectively in the department.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports team members through transitions, maintaining morale and productivity.
Achieves high levels of performance.
Persists in seeking objectives despite obstacles or setbacks.
Encourages open dialogue to surface new ideas and pivot strategies collaboratively.
Determines the parts of the project that need completed first.
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates the concerns of other employees.
Considers the other individual's point of view.
Gives constructive feedback on performance reviews.
Maintains open and regular communication with others.
Provides constructive feedback in a way that fosters acceptance and development.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Trusts employees with important responsibilities.
Lets employees complete tasks according to their methods.
Allows for flexibility in the working hours.
Gives employees autonomy to complete tasks on their own.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Exchanges ideas, resources, plans, and technologies with colleagues.
Manages effective partnerships between public, private, and non-profit sectors.
Exchanges innovative ideas with others in the network.
Uses networks of personal contacts to gain introductions to others who may have valuable information.
Exchanges innovative ideas with a network of colleagues.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates effective formal reward programs such as employee-of-the-month or annual service awards.
Recognizes the abilities and skills of self and others
Develops recognition events that reward and motivate others.
Encourages peers to recognize each other in real-time.
Offers recognition that is proportional to the accomplishment.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has a strategic awareness on how to promote the organization.
Able to adapt the department to changing business demands and climate.
Balances risks and rewards when making decisions.
Exhibits determination and passion in completion of goals.
Encourages risk taking for developing potential business opportunities.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.