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 add value to the department/organization.
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 create an environment that supports personal development and exploration.
You stay up-to-date on emerging technologies.
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.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You seek opportunities for continuous learning.
You allow employees to fully participate in employee training and professional development.
You encourage employees to take courses relevant to their job.
You are contributing fully to the extent of your skills
You quickly acquire and apply new knowledge and skills when needed
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are able to express own goals and needs.
You attempt to persuade others rather than simply control them.
You seek to obtain consensus or compromise.
You ensure stakeholders are involved in the decision making process.
You understand what others need.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You implement best practices within the department.
You analyze current procedures and identify opportunities for improvement.
You challenge current procedures to develop other alternatives.
You create improved methods or solutions for meeting goals and objectives.
You find creative ways to get things done with limited resources.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You eliminate bureaucratic barriers to streamline processes.
You are able to increase customer satisfaction scores for the quarter.
You make use of talents of others to help achieve a high level of performance.
You take reasonable risks to achieve desired results.
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 offer training to reduce safety incidents in the workplace.
You develop appropriate strategies to minimize risks.
You seek to retain the best and brightest employees.
You base decisions on patterns found in fluid/changing information.
You are aware of process safety management.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I can create a timeline for events and monitors progress.
I am able to follow the plan set in place.
I prioritize tasks based on urgency/need.
You accomplish major tasks by breaking them into manageable pieces.
I can develop a strategic plan to reduce costs in the department.

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.