Innovation - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

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.

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.

Innovation

• Offers constructive improvements to existing systems.
• Suggests new ideas at meetings.
• Searches for opportunities and innovative ways to improve the organization.
• Creates a safe environment for idea-sharing.
• Challenges current procedures to develop other alternatives.

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

Comments:

Integrity

• Protects the integrity and confidentiality of information
• Fosters a high standard of ethics and integrity.
• Maintains strong relationships with others.
• Demonstrates sincerity in actions with others.
• Accepts responsibility for mistakes.

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

Comments:

Continual Learning

• Pursues self-improvement through continual learning.
• Sets relevant learning objectives and goals.
• Participates in regular training offered.
• Is open to new ideas and concepts.
• Improves on their skill sets.

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

Comments:

Leadership

• Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
• Acts decisively in implementing decisions.
• Takes ownership and accountability for results
• Highly effective supervisor.
• Gives direct, constructive, and actionable feedback.

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

Comments:

Strategic Insight

• Implements long-term solutions to problems.
• Formulates strategies and action plans to ensure successful completion of goals and objectives.
• Analyzes records and reports to obtain insight into potential issues and trends.
• Analyzes unique issues or problems impacting the Company.
• Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.

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.