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.
Adds value to the department/organization.
Is creative.
Inspires creativity in their team.
Develops solutions to challenging problems.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completes work on time
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes a large volume of work.
Motivates others to achieve or exceed goals
Identifies ways to simplify work processes and reduce cycle times
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is curious and willing to ask questions about the cultural differences in the workplace.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Functions effectively within various cultural contexts.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Values the opinions of diverse groups and individual.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works well in this position.
Shown significant improvement in job performance.
Has great overall performance
Effective in performing his/her job.
Effectively organizes resources and plans
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Highly motivated to complete tasks despite obstacles that may arise.
Plans the best course of action to achieve the goal.
Directs team in prioritizing daily work activities
Is a high achiever.
Makes changes to the plans if it will result in increased output.
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates the concerns of other employees.
Is a committed and reliable partner.
Is honest about making mistakes and willing to fix them.
Effectively manages conflicts by dealing with them directly and immediately
Is willing to lend a hand to those in the department who need help.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to think outside the box.
Sets clear goals for others to accomplish.
Trusts employees are able to complete assigned tasks.
Values the expertise that others bring to the team.
Establishes goals that allow employees top operate independently in the field.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates value within the Company by building networks.
Supports a partnering/networking culture.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Creates the conditions for partnerships to grow and develop.
Partners with peers to obtain influence within the Company.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Says "thank you" to show appreciation for work of others.
Recognizes individuals for a specific outstanding achievement.
Compliments other people when they do good work
Readily shares credit and gives others opportunity for visibility.
Is sincerely interested in the suggestions of co-workers
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains a high level of energy to respond to demands of the job.
Finds unique ways to go around barriers to success.
Excellent at managing relationships with stakeholders.
Can work effectively in an environment of uncertainty.
Seeks and utilizes mentors to help guide professional development.

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.