Creativity - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is 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 '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.

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
Is creative.
Adds value to the department/organization.
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Develops solutions to challenging problems.
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
Fosters a diverse workforce free from discrimination and harassment.
Accepts individual differences.
Hires individuals with different cultural backgrounds for the department.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
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
Organizes tasks for the most efficient order of completion.
Switches attention to more urgent tasks when necessary.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Builds in extra time in the schedule for unplanned events/occurrences.
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
Sets long-term and short-term goals.
Effectively organizes resources and plans
Assures [Company] principles are understood, employed & pursued.
Encourages me to take on greater responsibility.
Consistently provides me with timely feedback for improving my performance.
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
Creates a vision for the organization based on insights gathered from other companies in the industry.
Develops a strategic vision for the future.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Communicates with employees to find out their needs.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
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.
Can work effectively in an environment of uncertainty.
Encourages dynamic growth opportunities.
Excellent at managing relationships with stakeholders.
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
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.
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.