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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. Has a strong commitment to innovation.
  1. Generates innovative and practical solutions.
  1. Sets company-wide innovation performance targets and goals.
  1. Regularly audits the company's innovation effectiveness.
  1. Improves on ideas of others.
  1. Discovers alternative methods for production.


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Consistently demonstrates a client focus.
  1. Builds long term relationships with clients.
  1. Puts client's needs first.
  1. Focuses on providing excellent client service.
  1. Maintains strong relationships with clients.
  1. Maintains up-to-date information regarding client products.


Professional Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Encourages employees to take courses relevant to their job.
  1. Contributing fully to the extent of their skills
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Seeks opportunities for continuous learning.
  1. Seeks opportunities for professional development.
  1. Allows employees to fully participate in employee training and professional development.


Co-worker Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  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


Business Acumen

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Knows how to use financial information to make an impact on the organization.
  1. Has a good understanding of liabilities and assets.
  1. Shares information on best practices to facilitate business workflows and operations during times of transition and changes in personnel.
  1. Understands our competitors and their strengths and weaknesses.
  1. Understands financial terminology, statements.
  1. Rewards risky ideas that may yield significant benefits to the business.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Volunteers for experiences and assignments abroad.
  1. Is aware of the culture, behaviors, identities and beliefs of others.
  1. Builds working relationships with others across cultures.
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  1. Demonstrates working knowledge of global transactions.
  1. Can effectively deliver presentations to international clients.



  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.