Creativity - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Creativity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Inspires creativity in their team.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Creates a lot of new ideas.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports and mentors others that may have different cultural backgrounds.
Engages with individuals that have different cultural backgrounds.
Is responsive to individuals from other cultures.
Communicates with others without the influence of racism.
Is curious and willing to ask questions about the cultural differences in the workplace.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Uses a scheduler/planner to keep tasks organized and on time.
Assigns tasks based on skills of team members.
Switches attention to more urgent tasks when necessary.
Plans and organizes continuously while performing all other responsibilities and activities.
Assesses current capabilities before committing to new requests from customers.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Ability to establish realistic goals.
Organizes and schedules events, activities, and resources.
Assures [Company] principles are understood, employed & pursued.
Encourages me to take on greater responsibility.
Sets long-term and short-term goals.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Meets with customers to gain insight into their core needs and how best to serve them.
Ensures that the department's goals are strategically aligned with the company's goals.
Identifies potential problems before they become critical incidents.
Maintains knowledge of current trends in the industry.
Develops a plan and strategy for each functional area within the mission statement.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Has a strategic awareness on how to promote the organization.
Balances risks and rewards when making decisions.
Is comfortable operating in an environment of uncertainty.
Encourages risk taking for developing potential business opportunities.
Takes the initiative to complete tasks.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Company	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Understands the use of [Company] products and services.
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.