Innovation - 360 Degree Feedback Survey Sample #2

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.

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 and . The survey will only be available during these dates.

Innovation	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Analyzes current procedures and identifies opportunities for improvement.
Implements best practices within the department.
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
Builds upon the ideas and solutions of others.
What are your suggestions for how can make improvements in Innovation?
Technology Use/Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Uses technology in decision making and problem solving.
Proficient in the use of technical systems and processes.
Understands and is committed to implementing new technologies.
What are your suggestions for how can make improvements in Technology Use/Management?
Creativity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adds value to the department/organization.
Creates a lot of new ideas.
Is creative.
Develops solutions to challenging problems.
Is creative and inspirational.
What are your suggestions for how can make improvements in Creativity?
Self Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes interpersonal problems instead of reacting to them.
Consciously controls own negative emotions in order to keep team morale up.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
What are your suggestions for how can make improvements in Self Management?
Punctuality	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Avoids making personal phone calls during working hours.
Starts meetings on time.
Starts the workday when scheduled.
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
What are your suggestions for how can make improvements in Punctuality?
Attitude	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Visibly supports and encourages diversity in style and background.
What are your suggestions for how can make improvements in Attitude?
Persuasion and Influence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Persuades others to consider alternative points of view.
Able to express own goals and needs.
Ensures stakeholders are involved in the decision making process.
Attempts to persuade others rather than simply control them.
Communicates effectively with others.
What are your suggestions for how can make improvements in Persuasion and Influence?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Maintains clarity in goals and objectives.
Avoids creating ambiguity or mixed messages.
Avoids stating unclear or conflicting goals.
Communicates ideas and facts clearly and effectively in writing.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
What are your suggestions for how can make improvements in Clarity?
Client Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Looks for opportunities that have a positive impact on Clients.
Ensures client commitments and requirements are met or exceeded
Maintains strong relationships with clients.
Satisfies client needs.
Obtains feedback to ensure client needs are being met.
What are your suggestions for how can make improvements in Client Focus?
Co-worker Development	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
What are your suggestions for how can make improvements in Co-worker Development?
Company	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].
What are your suggestions for how can make improvements in Company?
Fiscal Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Develops of the department's annual budget.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Monitors expenses and verifies the need for items purchased.
Provides budgeting and accounting support to the Company.
What are your suggestions for how can make improvements in Fiscal Management?

60. Strengths
    
    
    
61. Areas for Development
    
    
    
62. Please give any final comments or suggestions for 's assessment.