Innovation - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Innovation	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Analyzes current procedures and identifies opportunities for improvement.
Suggests new ideas at meetings.
Builds upon the ideas and solutions of others.
Implements best practices within the department.
Challenges current procedures to develop other alternatives.
If were to make improvements in Innovation, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Completes work to given time frame and to budget
Demonstrates a well-organized and timely approach to achieve desired results
Completes work to a high technical standard
Accepts setbacks and challenges as improvement opportunities
Follows-up and takes action when goals are not met to ensure better results in the future.
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Recognizes and implements changes to enhance efficiency and effectiveness.
Is proactive and takes steps to prepare for changes in the workplace.
Learns from personal experiences and/or mistakes.
Develops insights and applies innovative solutions to projects and problems.
Is flexible and open minded in dealing with others.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Displays high energy and enthusiasm on consistent basis.
Works quickly when faced with difficult problems.
Gets the job done.
Motivates & supports others to gain skills
Makes effective decisions, even when under pressure.
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Grasps new ideas, concepts, technical, or business knowledge.
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Builds on their strengths while addressing their weaknesses.
Pursues self-improvement through continual learning.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Takes ownership and accountability for results
Able to influence others.
Effectively leads others.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Demonstrates leadership and courage in critical situations.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Managing Performance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Obtains commitment from employees regarding completion of tasks.
Addresses grievances sooner rather than later.
Sets and maintains high standards for self and others.
Provides employees with necessary resources to accomplish their goals.
Is consistent in disciplinary/corrective actions.
If were to make improvements in Managing Performance, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Works effectively in the department.
Listens and responds to issues and problems
Able to organize work.
Sets a high standard for job performance.
Shown significant improvement in job performance.
If were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Anticipates the concerns of other employees.
Creates an atmosphere that supports the open expression of ideas
Able to work with individuals at all levels of the Company.
Is a role model for others
Strives for win/win solutions
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Coaching	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Meets regularly with employees to coach them on areas that will enhance their performance
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Provides clear, motivating, and constructive feedback.
Helps employees to maintain high personal standards.
If were to make improvements in Coaching, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Has a strategic awareness on how to promote the organization.
Devotes a certain amount of time and effort to developing new business opportunities.
Able to adapt the department to changing business demands and climate.
Excellent at managing relationships with stakeholders.
Finds unique ways to go around barriers to success.
If were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

56. What are 's greatest strengths demonstrated this year?
    
    
    
57. What are 's areas for development?
    
    
    
58. Please give any final comments or suggestions for 's assessment.