Innovation - 360 Degree Feedback Survey Sample #5

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
Offers constructive improvements to existing systems.
Analyzes current procedures and identifies opportunities for improvement.
Suggests new ideas at meetings.
Implements best practices within the department.
Challenges current procedures to develop other alternatives.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Satisfies client needs.
Maintains strong relationships with clients.
Forms strong client relationships
Obtains feedback to ensure client needs are being met.
Ensures client commitments and requirements are met or exceeded
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Quickly acquire and apply new knowledge and skills when needed
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
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to align resources to meet the business needs of the company.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Asks the 'right' questions to size up or evaluate situations.
Understands complex issues and problems.
Considers impact of actions on other areas of the organization.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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.
Demonstrates working knowledge of global transactions.
Can effectively deliver presentations to international clients.
Understands how cultures differ and how these differences impact work behavior.
Aligns personal vision with global strategies.

30. Overall, please rate the effectiveness of .
    

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

    
    
31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for 's assessment.