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Innovation - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

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)
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.

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 by .

Thank you for your participation in the survey.

Management Team



Innovation

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops new products and services.
  1. Implements best practices within the department.
  1. Offers constructive improvements to existing systems.
  1. Takes risks to advance important ideas.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Not afraid to think outside the box when dealing with issues.


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Fosters an environment that supports strong client focus.
  1. Anticipates client needs.
  1. Exceeds expectations of the clients.
  1. Identifies opportunities that will enhance the client's experience.
  1. Obtains feedback to ensure client needs are being met.
  1. Meets with clients on a regular basis.


Professional Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Keep themselves up-to-date of technical/professional issues
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Contributing fully to the extent of their skills
  1. Encourages employees to take courses relevant to their job.
  1. Seeks opportunities for professional development.
  1. Seeks opportunities for continuous learning.


Co-worker Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Provides access to development resources for co-workers
  1. Provides ongoing feedback to co-workers on their development progress
  1. Takes immediate action on poor performance
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Monitors and assesses the performance levels of individuals and team, measuring them against targets


Business Acumen

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Interprets data to make informed business decisions.
  1. Keeps informed of current income and expenses.
  1. Able to align resources to meet the business needs of the company.
  1. Has an understanding of various asset classes and how to interpret balance sheets.
  1. Recognizes trends in underlying data.
  1. Asks the 'right' questions to size up or evaluate situations.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Builds working relationships with others across cultures.
  1. Volunteers for experiences and assignments abroad.
  1. Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  1. Cooperates with others on a global scale.
  1. Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. Considers customers point of view when making decisions.



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






  2. Strengths


  3. Areas for Development


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