Innovation - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates innovative methods of developing business opportunities.
Challenges current procedures / processes to develop new solutions.
Simplifies processes and reduce bureaucratic hurdles that might stifle creativity and innovation.
Allocates time and resources specifically for innovation projects, allowing employees to dedicate efforts to exploring new opportunities.
Empowers employees with the technical skills essential for driving innovation and achieving strategic goals.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes all assigned tasks.
Sets benchmarks and milestones to measure progress toward the objectives.
Has a strong drive to complete goals despite obstacles that may arise.
Willing to adapt to new procedures to maintain production capacities.
Promptly and efficiently completes assigned tasks.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Informs supervisor about progress made on goals and objectives.
Sets their on-line status to "available" to indicate they are available for communication.
Willing to communicate issues and concerns to colleagues.
Able to deliver presentations.
Communicates goals of project, resources required, resources available, etc. to the team
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for errors in the production line.
Accepts responsibility to lead efforts to solving critical problems.
Works diligently for the success of the team.
Requires employees to submit monthly reports of the work they performed.
Accepts accountability for their actions and results.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates honesty and truthfulness at all times.
Establishes relationships of trust, honesty, fairness, and integrity.
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Fosters a high standard of ethics and integrity.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep staff informed about what is happening in the company
Delegate tasks effectively
Sets an example for others to follow
Is ready to offer help
Takes responsibility for things that go wrong
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes assigned work tasks.
Behavior is ethical and honest.
...takes personal responsibility for results.
Sets a good example.
Is a person you can trust.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes people around them feel appreciated and valued.
Is sincerely interested in the suggestions of co-workers
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Recognizes team members who offer a significant contribution to a project.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages dynamic growth opportunities.
Encourages risk taking for developing potential business opportunities.
Has a strategic awareness on how to promote the organization.
Maintains a high level of energy to respond to demands of the job.
Exhibits determination and passion in completion of goals.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to deal with sensitive issues with tact and professionalism.
Gets things done through the department.
Understands the current organizational culture.
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.

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

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

    
    
52. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
53. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
54. Additional comments, if any for [Participant Name Here]'s assessment.