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.

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

  • Is creative.
  • Is creative and inspirational.
  • Develops solutions to challenging problems.
  • Conceives, implements and evaluates ideas.
  • Adds value to the department/organization.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Integrity

  • Fosters an environment built upon trust.
  • Accepts responsibility for mistakes.
  • Maintains strong relationships with others.
  • Fosters a high standard of ethics and integrity.
  • Does what was promised.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Delegation

  • Entrusts subordinates with important tasks.
  • Defines the roles, responsibilities, required actions, and deadlines for team members.
  • Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  • Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  • Assigns tasks to create learning opportunities for the employees.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Regulatory/Compliance

  • Maintains historical records and documents as needed/required.
  • Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  • Addresses issues quickly before they develop into major problems.
  • Keeps track of changes in legislation affecting regulatory compliance.
  • Implements regulatory changes in a timely manner.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Global Perspective

  • Is able to work with individuals having different backgrounds and cultures.
  • Creates an environment where individual differences are valued and supported.
  • Facilitates open communication with individuals from other countries.
  • Cooperates with others on a global scale.
  • Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
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.