Creativity - 360 Degree Feedback Survey Sample #12





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)
Instructions

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.

Sample Result Document:
Sample Results
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.


Creativity

  • Adds value to the department/organization.
  • Is creative and inspirational.
  • Conceives, implements and evaluates ideas.
  • Creates a lot of new ideas.
  • Inspires creativity in their team.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Integrity

  • Does what was promised.
  • Demonstrates honesty and truthfulness at all times.
  • Protects the integrity and confidentiality of information
  • Fosters a high standard of ethics and integrity.
  • Develops trust and confidence from others.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Delegation

  • Allows employees to decide how they wish to complete the tasks.
  • Entrusts subordinates with important tasks.
  • Clearly defines duties and tasks to be completed.
  • Defines the roles, responsibilities, required actions, and deadlines for team members.
  • Tells subordinates what to do, not how to do it.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Regulatory/Compliance

  • Formulates compliance policies and procedures.
  • Reviews operations and work flows to ensure compliance with standards.
  • Develops strategies to comply with established regulations.
  • Reviews the compliance program and recommends changes based on new industry trends.
  • Reviews documentation and procedures manuals to ensure regulatory compliance.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Global Perspective

  • Able to listen and understand others and discuss issues in a respectful way.
  • Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  • Has positive interactions with individuals from different cultures and backgrounds.
  • Understands how cultures differ and how these differences impact work behavior.
  • Able to work with others from different cultures and countries.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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