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
Inspires creativity in their team.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Adds value to the department/organization.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
Encourages risk taking and experimentation to improve performance
Conveys a sense of urgency about addressing problems and opportunities
Completes a large volume of work.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports and mentors others that may have different cultural backgrounds.
Hires individuals with different cultural backgrounds for the department.
May advocate for others with different cultural backgrounds.
Understands the impact that our culture may have on interactions between individuals.
Open to learning about different cultures.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has great overall performance
Listens and responds to issues and problems
...Produce Quality
Effectively organizes resources and plans
Works effectively in the department.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Stays focused on solving problems and getting work done.
Has a positive attitude that encourages others to continue supporting the production goals.
Sets objectives for the department.
Completes all assigned tasks.
Persists in seeking objectives despite obstacles or setbacks.
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Willing to overlook personal differences and focus on completing the task at hand.
Offers praise to colleagues who have successfully completed major projects.
Takes time to recognize the efforts of others.
Gives good advice and suggestions to coworkers.
Maintains a high degree of honesty and integrity.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates confidence in the abilities of subordinates.
Delegates authority to employees and allows them to make their own decisions.
Fosters a sense of ownership and accountability for the process/product.
Gives employees the authority to act on their own.
Supports the decisions of others even if those decisions may sometimes lead to mistakes.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes collaborative business relationships to unlock and enhance growth opportunities.
Is an active member of professional associations or professional groups to stay connected with peers.
Understands the potential risks/rewards of the partnership.
Balances the strategic interests of those involved to maintain alliances.
Attends industry conferences and seminars to meet new contacts and learn from industry leaders.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds opportunities to recognize others.
Compliments other people when they do good work
Recognizes team members who offer a significant contribution to a project.
Reinforces and rewards employees for accomplishing necessary goals.
Offers recognition in a timely manner.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Devotes a certain amount of time and effort to developing new business opportunities.
Has a strategic awareness on how to promote the organization.
Balances risks and rewards when making decisions.
Seeks and utilizes mentors to help guide professional development.
Can work effectively in an environment of uncertainty.

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.