Creativity - 360 Degree Feedback Survey Sample #11

360 Feedback Survey

Questionnaires Measuring Adaptability:
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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Creativity mean?
It means that ...
  • You develop solutions to challenging problems.
  • You add value to the department/organization.
  • You create a lot of new ideas.
  • You are creative and inspirational.
  • You are creative.

To what extent does this person exhibit Creativity?
Select from one of the ratings below.

Communication Skills

What does Communication Skills mean?
It means that ...
  • You convey ideas confidently and succinctly.
  • You an effective listener who is responsive to information needs.
  • You are able to deliver presentations.
  • You check for understanding throughout conversations or group presentations/discussions
  • You coach others and provides feedback on the use of different oral communication styles for different audiences

To what extent does this person exhibit Communication Skills?
Select from one of the ratings below.


What does Management mean?
It means that ...
  • You take responsibility for things that go wrong
  • You are ready to offer help
  • You make others feel enthusiastic about your work
  • You keep staff informed about what is happening in the company
  • You set an example for others to follow

To what extent does this person exhibit Management?
Select from one of the ratings below.


What does Technical mean?
It means that ...
  • You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
  • You seek information from others as needed.
  • You willingly share your technical expertise; sought out as resource by others
  • You demonstrate mastery of the technical competencies required in your work.
  • You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.

To what extent does this person exhibit Technical?
Select from one of the ratings below.


What does Others mean?
It means that ...
  • You are able to see issues from others' perspectives.
  • You support the efforts of other employees in implementing solutions to problems.
  • You treat others with respect and dignity.
  • You include others in the decision making processes.
  • You form working relationships with employees from other departments.

To what extent does this person exhibit Others?
Select from one of the ratings below.

Areas for Development

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