Creativity - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Creativity:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Adds value to the department/organization.
  1. Is creative.
  1. Creates a lot of new ideas.
  1. Develops solutions to challenging problems.
  1. Inspires creativity in their team.

Supervisory Skills

Agree Unsure Disagree N/A
  1. Encourages employees to achieve their full potential.
  1. Provides constructive, ongoing feedback.
  1. Maintains good working relationships with employees.
  1. Appropriately recognizes and rewards employees.
  1. Delegates effectively.


Agree Unsure Disagree N/A
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Clearly defines duties and tasks to be completed.
  1. Entrusts subordinates with important tasks.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.


Agree Unsure Disagree N/A
  1. Always strives to produce the highest quality work products.
  1. Encourages others to achieve high quality standards.
  1. Reflects on what is working and what could be improved.
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
  1. Holds employees accountable for their quality of work.

Change Management

Agree Unsure Disagree N/A
  1. Addresses organizational and departmental resistance to changes.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Assists others in understanding changes to the organization.
  1. Works cooperatively with others to implement changes.


Agree Unsure Disagree N/A
  1. Sets a good example.
  1. Works in a way that makes others want to work with her/him.
  1. Sets a good example
  1. Holds herself / himself accountable to goals / objectives
  1. Completes assigned work tasks.

Conflict Management

Agree Unsure Disagree N/A
  1. Discusses conflict situations with supervisor.
  1. Deals effectively with employee grievances.
  1. Identifies and takes steps to prevent potential confrontations.
  1. Helps employees to think through alternative ways to resolve conflict situations.
  1. Clearly expresses expectations to others.

Business Acumen

Agree Unsure Disagree N/A
  1. Considers impact of actions on other areas of the organization.
  1. Understands complex issues and problems.
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Applies the knowledge of work processes to influence the achievement of business goals
  1. Able to align resources to meet the business needs of the company.

Organizational Fluency

Agree Unsure Disagree N/A
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Effective in communicating with others within the organization.
  1. Understands departmental policies and procedures.
  1. Gets things done through the department.
  1. Able to explain departmental policies and procedures to others.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.