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Innovation - 360 Degree Feedback Survey Sample #2





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

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 and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Innovation, Technology Use/Management, Creativity, Self Management, Punctuality, Attitude, Persuasion and Influence, Clarity, Client Focus, Co-worker Development, Company, Fiscal Management
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.

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

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Helps to identify and create value from innovation.
  1. Shows flexibility and willingness to adapt to new approaches and changing market conditions.
  1. Creates improved methods or solutions for meeting goals and objectives.
  1. Improves on ideas of others.
  1. Uses innovation to solve urgent specific problems.
What are your suggestions for how [Participant Name] can make improvements
in Innovation?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Proficient in the use of technical systems and processes.
  1. Adopts the implementation of new technology into the workplace.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Uses technology in decision making and problem solving.
  1. Maximizes the use of new technology to deliver products and services.
What are your suggestions for how [Participant Name] can make improvements
in Technology Use/Management?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Collaborates across teams to generate fresh ideas.
  1. Creates an environment that supports creativity and innovation.
  1. Participates in industry networks to stay attuned to emerging ideas.
  1. Sees learning as the engine of creativity, fueling fresh perspectives and novel ideas.
  1. Engages the team in brainstorming sessions to develop creative ideas.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Steps away from a situation to process appropriate response.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Analyzes interpersonal problems instead of reacting to them.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Invoices clients on a timely basis.
  1. Conducts appointments at scheduled start time.
  1. Starts the workday when scheduled.
  1. Avoids making personal phone calls during working hours.
  1. Starts meetings on time.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Speaks with civility and kindness, even under pressure or during disagreement.
  1. Shows empathy in their interactions with others.
  1. Enjoys working in the department
  1. Approaches setbacks with a positive attitude.
  1. Bounces back quickly from setbacks.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Listens actively to opposing viewpoints and responds with thoughtful counterarguments rather than defensiveness.
  1. Facilitates opportunities for employees to engage with fresh perspectives and deepen their understanding.
  1. Has the support of the team members.
  1. Uses clear examples and measurable results to support arguments, making complex issues more tangible.
  1. Builds and sustains a strong personal brand grounded in trust, competence, and ethical conduct.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Clearly explains responsibilities to individuals.
  1. Clearly explains the vision and goals of the company.
  1. Communicates with clarity and efficiency.
  1. Clearly defines work objectives for employees.
  1. Is clear about goals that need to be achieved.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is pro-active in dealing with clients and addressing their needs.
  1. Delivers high quality products to the client.
  1. Makes client's needs a top priority.
  1. Tailors innovative products for each client.
  1. Anticipates resources needed to meet the client needs.
What are your suggestions for how [Participant Name] can make improvements
in Client Focus?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Provides ongoing feedback to co-workers on their development progress
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Takes immediate action on poor performance
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Gives others development opportunities through project assignments and increased job responsibilities
What are your suggestions for how [Participant Name] can make improvements
in Co-worker Development?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Actively engages with community leaders to identify opportunities for meaningful collaboration.
  1. Encourages adapting and experimentation to deal with new issues facing the company.
  1. Creates reasonable and timely policies regarding social media.
  1. Impresses upon others the important aspects of [Company].
  1. Takes on new projects without compromising existing work.
What are your suggestions for how [Participant Name] can make improvements
in Company?

Fiscal Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Monitors expenses and verifies the need for items purchased.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Effective in using Company's resources.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Monitors spending.
What are your suggestions for how [Participant Name] can make improvements
in Fiscal Management?


  1. Strengths


  2. Areas for Development


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