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.

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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
Seeks new ideas and adapts to changing environments.
Fosters continuous improvement processes.
Allocates time and resources specifically for innovation projects, allowing employees to dedicate efforts to exploring new opportunities.
Understands that innovation requires doing things differently.
Seeks innovative ways to change, grow, and improve the department.
Creates new programs and systems.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides a high level of service to clients.
Exceeds expectations of the clients.
Is focused on improving client services.
Is aware of the client's needs.
Creates innovative solutions to meet client needs.
Is consistent in services provided to clients.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for professional development.
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides ongoing feedback to co-workers on their development progress
Monitors and assesses the performance levels of individuals and team, measuring them against targets
Provides access to development resources for co-workers
Takes immediate action on poor performance
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Engages in strategic alliances with valued partners.
Develops strategic plans to promote business and organizational strengths.
Creates unique strategies that impact the Company.
Bases decisions on business data rather than on intuition or hunches.
Anticipates the consequences to the business of different potential risk events.
Identifies new business opportunities.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Aligns personal vision with global strategies.
Attends training seminars and conferences to increase skills in working with others globally.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Exemplifies the skills of a global worker.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Creates an environment where individual differences are valued and supported.

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.