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.

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.


Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops innovative products or services.
  1. Embraces disruptive strategies enabling the organization to create groundbreaking advancements that outpace competitors.
  1. Enhances the feasibility and impact of new ideas through careful analysis and iterative improvements.
  1. Cultivates a culture of open communication where all ideas, no matter how unconventional, are welcomed and valued.
  1. Modifies innovative initiatives to capitalize on strengths and mitigate potential risks.
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. Supports employee training and development initiatives regarding implementation of technology.
  1. Understands and is committed to implementing new technologies.
  1. Supports technical training and development of employees.
  1. Maximizes the use of new technology to deliver products and services.
  1. Uses technology in decision making and problem solving.
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. Develops solutions to challenging problems.
  1. Conceives, implements and evaluates ideas.
  1. Inspires creativity in their team.
  1. Is creative and inspirational.
  1. Creates a lot of new 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. Does not allow own emotions to interfere with the performance of others.
  1. Steps away from a situation to process appropriate response.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
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. Arrives to meetings on time.
  1. Maintains an efficient schedule of activities.
  1. Starts meetings on time.
  1. Conducts appointments at scheduled start time.
  1. Invoices clients on a timely basis.
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. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Contributes to a positive work environment.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Builds open and trusting relationships.
  1. Treats all people fairly and with respect.
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. Develops a good rapport with others.
  1. Seeks to obtain consensus or compromise.
  1. Has excellent influencing/negotiating skills.
  1. Persuades others to consider alternative points of view.
  1. Ensures stakeholders are involved in the decision making process.
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. Avoids creating ambiguity or mixed messages.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Provides a clear vision for the future.
  1. Attends to the important details of a job or task.
  1. Avoids stating unclear or conflicting goals.
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. Gives feedback to the client regularly.
  1. Ensures clients are comfortable with the services provided.
  1. Is available to respond to client needs.
  1. Creates an environment that enables clients to receive excellent service.
  1. Creates innovative solutions to meet 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. Takes immediate action on poor performance
  1. Provides ongoing feedback to co-workers on their development progress
  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
  1. Works to identify root causes of performance problems
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. Impresses upon others the important aspects of [Company].
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands the use of [Company] products and services.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
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. Provides budgeting and accounting support to the Company.
  1. Develops of the department's annual budget.
  1. Monitors spending.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
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.