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 add value to the department/organization.
You inspire creativity in your team.
You are creative.
You are creative and inspirational.
You conceive, implement and evaluate ideas.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You constantly enhance product knowledge through experimentation and play.
You create an environment that supports personal development and exploration.
You are committed to enhancing your own knowledge and skills.
You hold self and associates accountable for goal achievement.
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 seek opportunities for continuous learning.
You are contributing fully to the extent of your skills
You quickly acquire and apply new knowledge and skills when needed
You allow employees to fully participate in employee training and professional development.
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 communicate effectively with others.
You persuade others to consider alternative points of view.
You attempt to persuade others rather than simply control them.
You are able to express own goals and needs.
You ensure stakeholders are involved in the decision making process.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You create a safe environment for idea-sharing.
You encourage open communication to ensure that all proposals are considered.
You take risks to advance important ideas.
You create improved methods or solutions for meeting goals and objectives.
You implement best practices within the department.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You make a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
You work at a quick pace to complete a high volume of work.
You are driven to complete goals despite obstacles that may arise.
You set challenging goals for the department.
You complete work promptly and efficiently.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You recognize that small changes may snowball into major events.
You develop policies for risk management.
You are able to adapt quickly to changing situations.
You develop policies to address risk situations in the workplace.
You perform regular risk analyses to minimize adverse outcomes.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I assess the risks of various strategic plans.
I know how to create effective project plans.
I develop strategic plans for the company/organization.
I understand what equipment will be needed for the project.
I prioritize tasks based on urgency/need.

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.