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 .

Creativity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Develops solutions to challenging problems.
Inspires creativity in their team.
Is creative.
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
Seeks out different viewpoints and benefits from different perspectives.
Seeks knowledge and information about other cultures.
Aware of their own cultural views.
Engages with individuals that have different cultural backgrounds.
Respects others regardless of age, race, gender, nationality, or disability.
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.
Switches attention to more urgent tasks when necessary.
Is aware of the deadlines for specific tasks/assignments.
Spends the most time and effort on critical tasks first.
Completes multiple tasks simultaneously.
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
Able to organize work.
Organizes and schedules events, activities, and resources.
Establishes goals and objectives.
Communicates goals and objectives to employees.
Assures [Company] principles are understood, employed & pursued.
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
Analyzes unique issues or problems impacting the Company.
Understands how to strategically grow the business and increase customers.
Creates values statement to ensure all employees are working under the same guiding principles.
Strategically aligns projects to the goals of the company.
Pursues strategic alliances with valued partners.
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
Encourages dynamic growth opportunities.
Is comfortable operating in an environment of uncertainty.
Has a strategic awareness on how to promote the organization.
Exhibits determination and passion in completion of goals.
Able to adapt the department to changing business demands and climate.
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.
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
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.