Innovation - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Innovation:
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:

[Company] 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.

Competencies Included:
Innovation, Achievement, Adaptability, Action, Continual Learning, Leadership, Managing Performance, Performance, Interpersonal Skills, Coaching, Entrepreneurship
Sample Result Document:
Sample Results
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 . 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
  1. Develops new products and services.
  1. Creates improved methods or solutions for meeting goals and objectives.
  1. Fosters a creative and innovative work environment.
  1. Takes risks to advance important ideas.
  1. Searches for opportunities and innovative ways to improve the organization.
If [Participant Name] 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
  1. Reduced department expenses by 25 percent.
  1. Reduces staff turnover.
  1. Takes calculated risks to achieve difficult goals.
  1. Strives to exceed standards of performance.
  1. Set high standards in their performance
If [Participant Name] 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
  1. Embraces change and fosters an open-minded environment.
  1. Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
  1. Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
  1. Adapts quickly to new situations.
  1. Able to adapt to changes in technology and processes.
If [Participant Name] 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
  1. Effectively handles multiple complex issues simultaneously.
  1. Is not afraid to take corrective action when necessary.
  1. Gladly accepts new challenges and works on them with urgency.
  1. Is proactive in addressing the needs of the department.
  1. Approves purchase requests in a timely manner.
If [Participant Name] 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
  1. Pursues professional development opportunities when they arise.
  1. Shares best practices with others and learns from others.
  1. Participates in regular training offered.
  1. Takes charge of their training and skills enhancement.
  1. Grasps new ideas, concepts, technical, or business knowledge.
If [Participant Name] 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
  1. Acts decisively in implementing decisions.
  1. Highly effective supervisor.
  1. Able to align manpower, design work, an allocate tasks to achieve goals.
  1. Sits down regularly with employees to review their job performance.
  1. Holds others accountable for their actions.
If [Participant Name] 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
  1. Uses timely and appropriate corrective/disciplinary actions.
  1. Aligns individual and team goals with the organization's goals and objectives.
  1. Presents performance feedback in a clear and concise manner to address performance issues.
  1. Acknowledges employee contributions that support the bottom line.
  1. Creates several measures of success for each goal.
If [Participant Name] 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
  1. Shown significant improvement in job performance.
  1. ...Produce Quality
  1. ...Overall Performance
  1. Able to organize work.
  1. Effective in performing his/her job.
If [Participant Name] 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
  1. Considers the other individual's point of view.
  1. Provides constructive feedback in a way that fosters acceptance and development.
  1. Easily approachable.
  1. Values the opinions of others.
  1. Shows appreciation for other's work.
If [Participant Name] 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
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Helps employees to maintain high personal standards.
  1. Conducts regular performance appraisals and feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Provides clear, motivating, and constructive feedback.
If [Participant Name] 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
  1. Encourages dynamic growth opportunities.
  1. Finds unique ways to go around barriers to success.
  1. Balances risks and rewards when making decisions.
  1. Seeks and utilizes mentors to help guide professional development.
  1. Encourages risk taking for developing potential business opportunities.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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