Creativity - 360 Degree Feedback Survey Sample #5

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
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
Creates a lot of new ideas.
Develops solutions to challenging problems.
Adds value to the department/organization.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes a large volume of work.
Seeks and utilizes opportunities for continuous learning and self-development.
Encourages risk taking and experimentation to improve performance
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.
Seeks out different viewpoints and benefits from different perspectives.
Values the opinions of diverse groups and individual.
Recognizes and values individual and cultural differences.
Treats others with dignity and respect.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
...Overall Performance
Able to organize work.
Effective in performing his/her job.
Works effectively in the department.
...Produce Quality
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages a high-energy, fun work environment and coaches others on how to do the same
Inspires and motivates co-workers to be productive and energetic at work
Does not become distracted by non-issues or interruptions.
Stays focused on meeting the needs of customers.
Explains the "whys" behind organizational objectives
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open and approachable
Anticipates the concerns of other employees.
Adapts management style to meet the needs of the individual or situation.
Effectively manages conflicts by dealing with them directly and immediately
Creates an atmosphere that supports the open expression of ideas
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets clear goals for others to accomplish.
Provides support and resources needed to accomplish goals.
Encourages others to obtain necessary skills and training.
Distributes the workload to subordinates.
Encourages employees to solve problems on their own.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains infrastructure to support partnerships and networks.
Seeks an understanding of diverse functions within the Company.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Seeks to reduce institutional roadblocks to information sharing.
Creates the conditions for partnerships to grow and develop.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Compliments other people when they do good work
Says "thank you" to show appreciation for work of others.
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Recognizes individuals for a specific outstanding achievement.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages risk taking for developing potential business opportunities.
Devotes a certain amount of time and effort to developing new business opportunities.
Exhibits determination and passion in completion of goals.
Able to adapt the department to changing business demands and climate.
Finds unique ways to go around barriers to success.

51. Overall, please rate the effectiveness of .
    

    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 's assessment.