Innovation - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

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.

To what extent does [Participant Name] exhibit the following ...

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

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Innovation

• Serves as an effective innovative champion.
• Prioritizes technical skill development among employees to foster a culture of innovation and creativity.
• Follows through and implements innovation initiatives.
• Understands that innovation requires doing things differently.
• Improves and makes systems more efficient.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Integrity

• Follows tasks to completion.
• Establishes relationships of trust, honesty, fairness, and integrity.
• Demonstrates honesty and truthfulness at all times.
• Fosters an environment built upon trust.
• Does what was promised.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Continual Learning

• Pursues professional development opportunities when they arise.
• Seeks opportunities to grow in skills and knowledge.
• Pursues self-improvement through continual learning.
• Participates in regular training offered.
• Views setbacks as opportunities to learn from.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Leadership

• Leads team to set goals, solve problems, and accomplish tasks.
• Acts decisively in implementing decisions.
• Sets clear goals and objectives for subordinates.
• Expresses clear goals and objectives.
• Provides resources to enable individuals to develop professionally.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strategic Insight

• Analyzes records and reports to obtain insight into potential issues and trends.
• Creates strategies that significantly benefit the Company.
• Analyzes unique issues or problems impacting the Company.
• Creates a mission statement describing the purpose for the organization.
• Lets employees know how their roles contribute toward the achievement of strategic company objectives.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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