Innovation - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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 by .

Thank you for your participation in the survey.

Management Team

Innovation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses unconventional approaches to solve problems.
Suggests ways to improve processes and systems.
Champion disruptive innovations to open new market opportunities and redefine industry standards.
Encourages employees to consider opportunities to innovate processes and products.
Improves on ideas of others.
Creates new and efficient processes.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates high quality products for the clients.
Is pro-active in dealing with clients and addressing their needs.
Takes the initiative in solving difficult client issues.
Makes sure client needs are understood by the team members.
Is aware of expectations from clients.
Prioritizes client issues based on urgency.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keep themselves up-to-date of technical/professional issues
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
Seeks opportunities for continuous learning.
Seeks opportunities for professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides access to development resources for co-workers
Monitors and assesses the performance levels of individuals and team, measuring them against targets
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Facilitates creativity and innovation in individuals by helping them understand different aspects of the business.
Understands complex issues and problems.
Has a good understanding of liabilities and assets.
Calculates return on investment (ROI) for various business projects.
Responds quickly to customer business inquiries.
Understands the costs, profits, markets, and added value of issues.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Cooperates with others on a global scale.
Understands global systems such as the global economy.
Has positive interactions with individuals from different cultures and backgrounds.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Can effectively deliver presentations to international clients.
Is able to work with individuals having different backgrounds and cultures.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
38. Strengths
    
    
    
39. Areas for Development
    
    
    
40. Please give any final comments or suggestions for [Participant Name Here]'s assessment.