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

• Encourages open communication to ensure that all proposals are considered.
• Creates a safe environment for idea-sharing.
• Creates improved methods or solutions for meeting goals and objectives.
• Searches for opportunities and innovative ways to improve the organization.
• Fosters a creative and innovative work environment.

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

Comments:

Integrity

• Demonstrates honesty and truthfulness at all times.
• Follows tasks to completion.
• Fosters an environment built upon trust.
• Develops trust and confidence from others.
• Does what was promised.

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

Comments:

Continual Learning

• Participates in regular training offered.
• Pursues learning that will enhance job performance.
• Improves on their skill sets.
• Takes the initiative to learn new skills.
• Takes charge of their training and skills enhancement.

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

Comments:

Leadership

• Guides decision-making by coaching, counseling and rewarding.
• Able to align manpower, design work, an allocate tasks to achieve goals.
• Gives inspiring presentations or discussions.
• Sets specific, measurable, and challenging goals.
• Acts decisively in implementing decisions.

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

Comments:

Strategic Insight

• Inspires employees to adopt the strategic plan.
• Maintains knowledge of current trends in the industry.
• Creates a mission statement describing the purpose for the organization.
• Observes employees at work to get better insight into the issues they are dealing with.
• Identifies potential problems before they become critical incidents.

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.