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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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



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Innovation

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Encourages a search for radical innovation opportunities to obtain major breakthroughs.
  1. Helps focus the department on innovation.
  1. Focuses the team on important innovations.
  1. Facilitates ongoing technical training and development to enable employees to contribute to innovative solutions.
  1. Solves problems with insight and understanding.
  1. Helps to identify and create value from innovation.


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Takes the initiative in solving difficult client issues.
  1. Is pro-active in dealing with clients and addressing their needs.
  1. Prioritizes the needs and preferences of the client.
  1. Creates new and innovative products for clients.
  1. Creates innovative solutions to meet client needs.
  1. Provides training to others on how to improve client service.


Professional Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Seeks opportunities for professional development.
  1. Allows employees to fully participate in employee training and professional development.
  1. Encourages employees to take courses relevant to their job.
  1. Keep themselves up-to-date of technical/professional issues
  1. Seeks opportunities for continuous learning.
  1. Contributing fully to the extent of their skills


Co-worker Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Takes immediate action on poor performance
  1. Works to identify root causes of performance problems
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Monitors and assesses the performance levels of individuals and team, measuring them against targets
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Provides ongoing feedback to co-workers on their development progress


Business Acumen

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Calculates return on investment (ROI) for various business projects.
  1. Gathers essential customer data to align our products with their expectations.
  1. Responds quickly to customer business inquiries.
  1. Creates strategic plans that conform with regulations and industry guidelines.
  1. Anticipates marketplace opportunities and supports speed to market.
  1. Conducts thorough market research to understand industry trends, customer needs, and competitive landscapes.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Understands and appreciates the perspectives offered by others with different cultural backgrounds.
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Has positive interactions with individuals from different cultures and backgrounds.
  1. Volunteers for experiences and assignments abroad.
  1. Facilitates open communication with individuals from other countries.



  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.