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
Is creative and inspirational.
Inspires creativity in their team.
Is creative.
Develops solutions to challenging problems.
Creates a lot of new ideas.
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.
Encourages risk taking and experimentation to improve performance
Motivates others to achieve or exceed goals
Seeks and utilizes opportunities for continuous learning and self-development.
Identifies ways to simplify work processes and reduce cycle times
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports and mentors others that may have different cultural backgrounds.
Helps other employees to become more culturally sensitive.
Understands how implicit biases can affect decisions, communication and productivity.
Engages with individuals that have different cultural backgrounds.
Aware of their own cultural views.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Shown significant improvement in job performance.
Effectively organizes resources and plans
Works well in this position.
Sets a high standard for job performance.
Effective in performing his/her job.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps others when free-time is available.
Inspires and motivates co-workers to be productive and energetic at work
Directs team in prioritizing daily work activities
Stays focused on meeting the needs of customers.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates willingness to work with others.
Demonstrates compassion and understanding of others.
Able to work with individuals at all levels of the Company.
Anticipates the concerns of other employees.
Values the opinions of others.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Expresses confidence in the abilities of others.
Lets employees make their own decisions.
Allows individuals to be responsible for their decisions.
Sets clear goals for others to accomplish.
Avoids micromanaging their employees.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports and encourages relationships that are created by diverse team members.
Seeks an understanding of diverse functions within the Company.
Maintains infrastructure to support partnerships and networks.
Collaborates with others to accomplish goals and objectives.
Builds alliances between departments and teams.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Offers recognition in a timely manner.
Recognizes individuals for a specific outstanding achievement.
Reinforces and rewards employees for accomplishing necessary goals.
Makes people around them feel appreciated and valued.
Finds opportunities to recognize others.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is comfortable operating in an environment of uncertainty.
Takes the initiative to complete tasks.
Finds unique ways to go around barriers to success.
Maintains a high level of energy to respond to demands of the job.
Encourages dynamic growth opportunities.

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.