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 are creative and inspirational.
You create a lot of new ideas.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You actively seek to learn by asking questions and listening to all store associates.
You demonstrate through personal behavior the commitment to high standards of performance.
You constantly enhance product knowledge through experimentation and play.
You take initiative for own learning and development.
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 encourage employees to take courses relevant to their job.
You are contributing fully to the extent of your skills
You seek opportunities for continuous learning.
You quickly acquire and apply new knowledge and skills when needed
You keep yourself up-to-date of technical/professional issues
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 persuade others to consider alternative points of view.
You understand what others need.
You are able to express own goals and needs.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You implement best practices within the department.
You offer constructive improvements to existing systems.
You challenge current procedures to develop other alternatives.
You suggest new ideas at meetings.
You create a safe environment for idea-sharing.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You follow-up and take action when goals are not met to ensure better results in the future.
You demonstrate a well-organized and timely approach to achieve desired results
You accept setbacks and challenges as improvement opportunities
You set high standards in your performance
You schedule time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You avoid maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
You reward innovative experiments to try new ideas.
You base decisions on patterns found in fluid/changing information.
You maintain open communication with other departments.
You recognize that small changes may snowball into major events.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You anticipate obstacles and ways to overcome them.
You anticipate potential challenges, develops plan to overcome them and then carries out the plan.
You are able to look ahead (beyond the present) when addressing the work/needs of the department.
You are able to identify the needs of the department before a major change.
You make plans and follows through.

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.