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

Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are creative.
You inspire creativity in your team.
You conceive, implement and evaluate ideas.
You add value to the department/organization.
You are creative and inspirational.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You stay up-to-date on emerging technologies.
You demonstrate through personal behavior the commitment to high standards of performance.
You enhance your value to the company through additional training and development.
You exhibit willingness to upgrade skills through additional training and education.
You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You seek opportunities for continuous learning.
You quickly acquire and apply new knowledge and skills when needed
You seek opportunities for professional development.
You encourage employees to take courses relevant to their job.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You attempt to persuade others rather than simply control them.
You are able to express own goals and needs.
You seek to obtain consensus or compromise.
You develop a good rapport with others.
You persuade others to consider alternative points of view.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You suggest new ideas at meetings.
I analyze the competitive environment to determine where innovation would have the greatest impact.
You use unconventional approaches to solve problems.
I utilize disruptive innovation to help managers transform conventional business models, making products and services more accessible and affordable.
I participate in cross-functional innovation teams.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You strive to exceed standards of performance.
You demonstrate improvement in performance.
You accept setbacks and challenges as improvement opportunities
You allocate resources as needed to accomplish organizational goals.
You take calculated risks to achieve higher levels of performance.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You seek to increase safety in the workplace.
You identify and mitigate risks while making informed, strategic decisions.
I use risk data to generate insights and drive strategic decisions.
You recognize that small changes may snowball into major events.
You effectively respond to critical situations to reduce potential for losses.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You determine what supplies/equipment will be needed for the project.
You regularly make plans for contingencies.
I schedule staff based on seasonal needs.
I can accurately estimate the amount of materials/supplies needed for the project.
You create to-do lists to make sure nothing is missed.

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.