Innovation - 360 Degree Feedback Survey Sample #9

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)

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 comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Definite Strength Meets Standards Needs Development N/A
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Implements best practices within the department.
  1. Offers constructive improvements to existing systems.
  1. Challenges current procedures to develop other alternatives.
  1. Builds upon the ideas and solutions of others.

Communication Skills

Definite Strength Meets Standards Needs Development N/A
  1. Checks for understanding throughout conversations or group presentations/discussions
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Communications with department leadership
  1. Asks follow-up questions as needed.
  1. Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.


Definite Strength Meets Standards Needs Development N/A
  1. Adapts to new organizational structures, policies, or procedures.
  1. Works effectively during periods of change.
  1. Willing to try new ideas.
  1. Acts decisively in frequently changing and uncertain environment.
  1. Can handle changes without complaining.

Bias for Action

Definite Strength Meets Standards Needs Development N/A
  1. Encourages risk taking and experimentation to improve performance
  1. Completes a large volume of work.
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Completes work on time
  1. Conveys a sense of urgency about addressing problems and opportunities

Managing Performance

Definite Strength Meets Standards Needs Development N/A
  1. Sets specific and measurable goals for others and follows through to completion.
  1. Examines the most effective ways for accomplishing goals.
  1. Makes sure commitments are understood and met.
  1. Is consistent in disciplinary/corrective actions.
  1. Addresses grievances sooner rather than later.

Administrative Skill

Definite Strength Meets Standards Needs Development N/A
  1. High attention to detail.
  1. Takes responsibility for decisions.
  1. Strong organizational skills to keep the workspace and department in order
  1. Enthusiastic about taking on challenging projects.
  1. Accurately implements contract provisions.

Time Management

Definite Strength Meets Standards Needs Development N/A
  1. Leaves time in the schedule for unplanned contingencies.
  1. Deals effectively with interruptions.
  1. Completes high-priority work within required timelines.
  1. Sets clearly defined goals.
  1. Sets a good balance between work and family life.


Definite Strength Meets Standards Needs Development N/A
  1. Sets a good example
  1. Sets high personal standards of performance.
  1. Works in a way that makes others want to work with her/him.
  1. Is a person you can trust.
  1. Acts as a resource without removing individual responsibility.


Definite Strength Meets Standards Needs Development N/A
  1. Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
  1. Is able to decline bad ideas to avoid making poor decisions.
  1. Able to say "no" when it is essential to maintaining quality and high standards.
  1. Leverages relationships with others to achieve goals.
  1. Influences others through rational argument and persuasion.

Organizational Fluency

Definite Strength Meets Standards Needs Development N/A
  1. Gets things done through the department.
  1. Anticipates problems that may affect the department.
  1. Effective in communicating with others within the organization.
  1. Understands the current organizational culture.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.