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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adds value to the department/organization.
Is creative and inspirational.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Develops solutions to challenging problems.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Displays high energy and enthusiasm on consistent basis.
Conveys a sense of urgency about addressing problems and opportunities
Motivates others to achieve or exceed goals
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Identifies ways to simplify work processes and reduce cycle times
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages a work environment where individual differences are valued.
Shows respect in daily interactions
Recognizes and values individual and cultural differences.
Values the opinions of diverse groups and individual.
Treats others with dignity and respect.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has great overall performance
Effective in performing his/her job.
Works effectively in the department.
Listens and responds to issues and problems
Sets a high standard for job performance.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Explains the "whys" behind organizational objectives
Provides clear expectations for employees.
Inspires and motivates co-workers to be productive and energetic at work
Helps others when free-time is available.
Does not become distracted by non-issues or interruptions.
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Comes across as credible, knowledgeable and sincere
Anticipates the concerns of other employees.
Demonstrates willingness to work with others.
Able to work with individuals at all levels of the Company.
Creates an atmosphere that supports the open expression of ideas
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Allows individuals to be responsible for their decisions.
Set clear goals for assignments.
Trusts employees to complete tasks assigned.
Avoids micromanaging their employees.
Is aware of the skill levels of others.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Partners with peers to obtain influence within the Company.
Supports a partnering/networking culture.
Builds alliances between departments and teams.
Seeks an understanding of diverse functions within the Company.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Reinforces and rewards employees for accomplishing necessary goals.
Offers recognition in a timely manner.
Recognizes the abilities and skills of self and others
Says "thank you" to show appreciation for work of others.
Makes people around them feel appreciated and valued.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes the initiative to complete tasks.
Has a strategic awareness on how to promote the organization.
Finds unique ways to go around barriers to success.
Devotes a certain amount of time and effort to developing new business opportunities.
Exhibits determination and passion in completion of goals.

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.