Innovation - 360 Degree Feedback Survey Sample #11





360 Feedback 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)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Innovation

What does Innovation mean?
It means that ...
  • You develop new products and services.
  • You adjust creative approaches to ensure they meet both short-term and long-term business goals.
  • You search for opportunities and innovative ways to improve the organization.
  • I use innovation to solve urgent specific problems.
  • I foster a culture of creativity and curiosity by actively listening to and considering new ideas and opportunities.

To what extent does this person exhibit Innovation?
Select from one of the ratings below.

Change Management

What does Change Management mean?
It means that ...
  • You adopt changes to set and example for others to follow.
  • You support the Company's efforts to implement changes.
  • You work cooperatively with others to implement changes.
  • I am able to get team members to change their attitudes.
  • I develop plans for following through on the changes.

To what extent does this person exhibit Change Management?
Select from one of the ratings below.

Self Management

What does Self Management mean?
It means that ...
  • You step away from a situation to process appropriate response.
  • You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  • You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  • You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  • You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.

To what extent does this person exhibit Self Management?
Select from one of the ratings below.

Punctuality

What does Punctuality mean?
It means that ...
  • You invoice clients on a timely basis.
  • You start the workday when scheduled.
  • You conduct appointments at scheduled start time.
  • You arrive to meetings on time.
  • You start meetings on time.

To what extent does this person exhibit Punctuality?
Select from one of the ratings below.

Time Management

What does Time Management mean?
It means that ...
  • You focus time on the important tasks that add significant value.
  • You stay undistracted by personal devices while on the clock.
  • I frequently arrive early to start the day.
  • You prioritize completion of high-impact assignments.
  • I start projects without delay.

To what extent does this person exhibit Time Management?
Select from one of the ratings below.
Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.