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Innovation - 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Innovation, Technical, Technology Use/Management, Trustworthy, Developing Others, Continual Improvement, Project Management, Delegation, Quality, Business Acumen, Strategic Insight, Vision
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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



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Innovation

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
Always
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Competency
  1. Simplifies processes and reduce bureaucratic hurdles that might stifle creativity and innovation.
  1. Modifies innovative initiatives to capitalize on strengths and mitigate potential risks.
  1. Challenges existing work processes/products to enhance value.
  1. Looks for opportunities to apply new and evolving technologies.
  1. Fosters a creative and innovative work environment.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Knows how to produce high quality products/work.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares his/her technical expertise; sought out as resource by others
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
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  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Adopts the implementation of new technology into the workplace.
  1. Proficient in the use of technical systems and processes.
  1. Supports employee training and development initiatives regarding implementation of technology.
Please feel free to provide any comments to help explain your answers?

Trustworthy

Does Not
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Competency
Seldom
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Competency
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  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Builds and maintains the trust of others.
  1. Takes care to maintain confidential information.
  1. Works in a way that makes others want to work with her/him.
Please feel free to provide any comments to help explain your answers?

Developing Others

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Competency
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Competency
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  1. Supports the successes of other employees.
  1. Is open to receiving feedback.
  1. Recognizes and celebrates accomplishments of others.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Sets performance objectives for subordinates that encourages development opportunities.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

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Competency
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Competency
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  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Looks for ways to expand current job responsibilities.
  1. Open to the suggestions from others.
  1. Promotes training and development opportunities to enhance job performance.
  1. Analyzes processes to determine areas for improvement.
Please feel free to provide any comments to help explain your answers?

Project Management

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Competency
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  1. Identifies critical requirements for each phase of the project.
  1. Plans who, when, and what work needs to get done.
  1. Outlines key project dates and milestones.
  1. Prepares contingency plans to avoid supply chain disruptions.
  1. Regularly measures and records progress of the project.
Please feel free to provide any comments to help explain your answers?

Delegation

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Competency
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Competency
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Competency
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  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Allows subordinates to use their own methods and procedures.
  1. Clearly defines duties and tasks to be completed.
Please feel free to provide any comments to help explain your answers?

Quality

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Competency
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Competency
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  1. Promotes quality improvement practices in the department.
  1. Ensures the hiring of employees that have a quality focus.
  1. Is flexible in addressing issues related to quality.
  1. Evaluates and improves the quality of services and products.
  1. Able to anticipate quality issues and take preventative actions.
Please feel free to provide any comments to help explain your answers?

Business Acumen

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  1. Can effectively interpret and analyze market data.
  1. Provides a high level of business services to customers.
  1. Responds quickly to customer business inquiries.
  1. Understands the critical business needs of the customer.
  1. Able to align resources to meet the business needs of the company.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

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Competency
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Competency
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Competency
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  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Ensures that the department's goals are strategically aligned with the company's goals.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. Creates a mission statement describing the purpose for the organization.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
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Competency
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Competency
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Competency
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  1. Demonstrates consistency between words and actions
  1. Provides staff with the necessary resources, authority, and support to effectively implement and achieve the organization's vision.
  1. Guides employees to prioritize crucial components of the vision.
  1. Creates a crystal-clear vision for where the department needs to be in the next 12 months.
  1. Inspires individuals to achieve success by clearly communicating the organization's vision and motivating them to align their personal goals with this vision.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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