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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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
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Innovation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Supports changes to the standard way of doing things.
  1. Looks for opportunities to apply new and evolving technologies.
  1. Celebrates innovative achievements publicly to motivate others and reinforce the importance of innovation.
  1. Creates a safe environment for idea-sharing.
  1. Plays a pivotal role in fostering an environment where radical innovation can flourish and lead to major breakthroughs.
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. Strives to exceed standards of performance.
  1. Sets challenging goals for the department.
  1. Is determined to complete tasks regardless of obstacles that may occur.
  1. Fosters collaboration and accountability, ensuring success is a collective achievement.
  1. Successfully completed the orientation training program.
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. Adapts to new environments.
  1. Anticipates changes in the work environment.
  1. Is aware of changes to team personnel.
  1. Able to persevere and adapt during periods of hardship.
  1. Demonstrates willingness to change to meet the needs of the current circumstances.
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. Seeks new opportunities for advancement.
  1. Is proactive in addressing the needs of the department.
  1. Prepares equipment at the start of the shift.
  1. Effectively makes decisions
  1. Focuses on tasks without being distracted.
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. Takes the initiative to learn new skills.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Shares best practices with others and learns from others.
  1. Pursues self-improvement through continual learning.
  1. Pursues professional development opportunities when they arise.
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. Inspires a shared vision of being the best.
  1. Leads team to set goals, solve problems, and accomplish tasks.
  1. Links feedback to established goals, expectations, and organizational standards.
  1. Gets others to participate in making decisions and in setting goals for project completion without dictating or providing answers.
  1. Pays attention to and conveys understanding of the comments and questions of others.
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. Conducts objectives and key results (OKR) assessments on a quarterly basis.
  1. Provides additional responsibilities for employees that exceed performance standards.
  1. Measures performance using standard production quotas.
  1. Routinely holds audits of performance on a weekly or monthly basis.
  1. Addresses poor performance sooner rather than later.
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. Sets a high standard for job performance.
  1. Able to organize work.
  1. Effectively organizes resources and plans
  1. Shown significant improvement in job performance.
  1. ...Overall Performance
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. Anticipates the concerns of other employees.
  1. Offers praise to colleagues who have successfully completed major projects.
  1. Creates diverse teams of individuals with different backgrounds, skills, and abilities.
  1. Is willing to lend a hand to those in the department who need help.
  1. A good listener who is attentive to others.
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 others to understand the responsibilities and expectations of working for _____.
  1. Helps employees to maintain high personal standards.
  1. Has genuine empathy for the employee.
  1. Asks employees to define or explain their goals, strategies, and motivations.
  1. Understands the individual differences in each employee including unique working style, stress threshold, and capacity for growth.
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. Maintains a high level of energy to respond to demands of the job.
  1. Understands the processes and various stages of business development.
  1. Seeks and utilizes mentors to help guide professional development.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Encourages dynamic growth 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.