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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Thank you for your participation in the survey.

Management Team

Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Is creative.
Develops solutions to challenging problems.
Is creative and inspirational.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks and utilizes opportunities for continuous learning and self-development.
Encourages risk taking and experimentation to improve performance
Completes work on time
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Conveys a sense of urgency about addressing problems and opportunities
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports and mentors others that may have different cultural backgrounds.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Is aware of the similarities and differences among and between cultural groups.
Avoids referring to stereotypes about others from different cultures.
Values the opinions of diverse groups and individual.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Listens and responds to issues and problems
Shown significant improvement in job performance.
Able to organize work.
Effective in performing his/her job.
...Overall Performance
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Concentrates efforts on the most urgent needs.
Pursues performance benchmarks despite obstacles and setbacks.
Determines the objectives for the project.
Achieves high levels of performance.
Holds self and others accountable for achieving results.
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is well respected in the department.
Pays close attention to what is being communicated verbally and nonverbally.
Is a highly respected individual in the company.
Successfully resolves conflicts and grievances to a win-win solution.
Promotes acceptance of diverse viewpoints from team members.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Set clear goals for assignments.
Allows employees the opportunity to take time off when needed.
Fosters a sense of ownership and accountability for the process/product.
Assigns tasks that allow employees to use their critical thinking skills.
Provides opportunities for employee development and growth.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Networks with clients to determine improvements in operations.
Encourages colleagues to participate in networking opportunities.
Promotes the understanding of how the department affects the organization overall.
Creates joint ventures with others to create new entities to pursue a common goal.
Supports communication and collaboration with other leaders in the industry.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes the abilities and skills of self and others
Compliments other people when they do good work
Lets employees know when they have done well
Recognizes individuals for a specific outstanding achievement.
Makes people around them feel appreciated and valued.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has a strategic awareness on how to promote the organization.
Encourages risk taking for developing potential business opportunities.
Can work effectively in an environment of uncertainty.
Finds unique ways to go around barriers to success.
Excellent at managing relationships with stakeholders.

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.