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

  • Develops solutions to challenging problems.
  • Is creative and inspirational.
  • Inspires creativity in their team.
  • Adds value to the department/organization.
  • Creates a lot of new ideas.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Integrity

  • Develops trust and confidence from others.
  • Establishes relationships of trust, honesty, fairness, and integrity.
  • Follows tasks to completion.
  • Does what was promised.
  • Fosters a high standard of ethics and integrity.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Delegation

  • Defines goals and objectives for subordinates.
  • Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  • Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  • Sets clear and reasonable expectations for others and follows through on their progress.
  • Defines the roles, responsibilities, required actions, and deadlines for team members.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Regulatory/Compliance

  • Follows up on any unresolved compliance issues.
  • Explains regulations and procedures to others as required.
  • Trains and coordinates activies of compliance officers.
  • Uses software tools to monitor compliance and track issues to help identify and respond to non-compliance.
  • Effectively manages a department of compliance officers.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Global Perspective

  • Can effectively deliver presentations to international clients.
  • Works well with others from different cultural backgrounds.
  • Aligns personal vision with global strategies.
  • Understands how cultures differ and how these differences impact work behavior.
  • Able to listen and understand others and discuss issues in a respectful way.
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.