Innovation - 360 Degree Feedback Survey Sample #4

Dear Employee:

Welcome to our 360-Degree Feedback self-assessment questionnaire. Our objective is to provide feedback which will help advance your leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify areas where you are doing well and where you have opportunities to do better. Others will also complete the questionnaire to provide you with feedback.

We have developed this survey with questions tailored for your position in the department to provide you with an opportunity to rate many facets of your leadership performance.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You embrace an open-minded approach allowing managers to discover and promote innovative solutions that drive business success.
I determine how much risk the company is willing to take in implementing innovations to the products and services.
You look for opportunities to apply new and evolving technologies.
I encourage employees to consider opportunities to innovate processes and products.
I establish priorities and allocates resources to support innovation.
Collaboration	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are comfortable working with employees from different departments/divisions.
I model collaborative behavior through leading by example.
You integrate digital tools to streamline the collaborative processes of Research and Development.
I cultivate a collaborative culture that drives innovation, productivity, and employee satisfaction.
You a trustworthy and credible partner.
Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I ask other team members to share their opinions.
I establish good rapport with team members.
You actively and openly participates in team meetings.
I help the team bounce back from obstacles to progress.
You encourage collaboration with other departments.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You continually try to improve skills to remain current.
You are able to quickly learn new ways of performing your job.
You can take on new assignments.
You are able to work effectively with new people and new teams.
You are able to adjusts tactics when things are not working as expected.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You balance risks and costs with the reward and probabilities of success when decisions.
You identify problems and issues needing resolution.
You analyze issues and reduce them to their component parts.
You analyze data and information from several sources and arrives at logical conclusions.
You select the appropriate techniques for analysis.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You encourage commitment in others to obtain results.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You maintain persistence and dedication to achieving results.
You take immediate action toward goals.
You are able to focus on a task even when working alone.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You display high energy and enthusiasm on consistent basis.
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You seek and utilize opportunities for continuous learning and self-development.
You convey a sense of urgency about addressing problems and opportunities
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You mitigate hazards and safety issues that arise.
You participate in safety training when available.
You point out behaviors in others that may be unsafe.
You encourage others to attend safety training.
You develop a sustainable safety culture.

41. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
43. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
44. What changes do you see [Company] making in order to raise the standards?
    
    
    
45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
46. What do you like best about working for [Company]?
    
    
    
47. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: