Creativity - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others. A report will be shared with you at the conclusion of this project.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

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Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You develop solutions to challenging problems.
You are creative and inspirational.
You conceive, implement and evaluate ideas.
You add value to the department/organization.
You inspire creativity in your team.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You hold self and associates accountable for goal achievement.
You exhibit willingness to upgrade skills through additional training and education.
You are open minded and curious about learning new skills.
You will participate in training classes even if offered outside of normal working hours.
You embrace new technology and procedures.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You allow employees to fully participate in employee training and professional development.
You encourage employees to take courses relevant to their job.
You quickly acquire and apply new knowledge and skills when needed
You keep yourself up-to-date of technical/professional issues
You seek opportunities for continuous learning.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You understand what others need.
You ensure stakeholders are involved in the decision making process.
You attempt to persuade others rather than simply control them.
You have excellent influencing/negotiating skills.
You seek to obtain consensus or compromise.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You promote disruptive innovation empowering managers to challenge the status quo and push the boundaries of what's possible.
You facilitate ongoing technical training and development to enable employees to contribute to innovative solutions.
I simplify processes and reduce bureaucratic hurdles that might stifle creativity and innovation.
You fine-tune innovative strategies to maximize resource utilization and achieve desired outcomes.
You take risks to reach beyond boundaries.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You take calculated risks to achieve higher levels of performance.
I can complete required training and certification.
You set ambitious standards of performance.
I set performance metrics to measure achievement or attainment of goals.
You are flexible in adjusting priorities to meet the demands of changing situations.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I seek to capitalize on risks.
You develop appropriate strategies to minimize risks.
You evaluate risks against acceptable risk levels.
I conduct regular audits of the risk management framework.
I evaluate the probability of a risk event occurrence.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You involve relevant coworkers in the development of the plan.
I schedule staff based on seasonal needs.
I know how to create effective project plans.
I analyze market trends to plan the best course of action.
I am open to input from others into the plan for development of the strategic plan.

41. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
42. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
43. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
44. Additional comments, if any for [Participant Name Here]'s assessment.