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 conceive, implement and evaluate ideas.
You develop solutions to challenging problems.
You are creative and inspirational.
You create a lot of new ideas.
You inspire creativity in your team.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are open to feedback from others.
You will participate in training classes even if offered outside of normal working hours.
You create an environment that supports personal development and exploration.
You are open minded and curious about learning new skills.
You exhibit willingness to upgrade skills through additional training and education.
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 keep yourself up-to-date of technical/professional issues
You are contributing fully to the extent of your skills
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 seek to obtain consensus or compromise.
You attempt to persuade others rather than simply control them.
You have excellent influencing/negotiating skills.
You persuade others to consider alternative points of view.
You ensure stakeholders are involved in the decision making process.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You build upon the ideas and solutions of others.
You create a safe environment for idea-sharing.
You create improved methods or solutions for meeting goals and objectives.
You encourage open communication to ensure that all proposals are considered.
You offer constructive improvements to existing systems.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You set challenging goals for the department.
You set challenging goals.
I can complete required training and certification.
You complete work to a high technical standard
You eliminate bureaucratic barriers to streamline processes.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You determine the amount of deviation from the plan that will be tolerated.
I ensure employees are aware of potential impacts by increasing risk visibility.
You know how to obtain desired results with minimal losses.
You evaluate risks in terms of their consequences and likelihood of occurrence.
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 are open to input from others into the plan for the project.
You work in an organized manner
You create to-do lists to make sure nothing is missed.
I reduce uncertainty in the department through clear planning and schedules.
I know how to create effective project plans.

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.