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.

Innovation

• Ensures the workforce maintains cutting-edge technical competencies to support continuous innovation and growth.
• Enhances the feasibility and impact of new ideas through careful analysis and iterative improvements.
• Champion disruptive innovations to open new market opportunities and redefine industry standards.
• Shows flexibility and willingness to adapt to new approaches and changing market conditions.
• Identifies the opportunities created by innovations.

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

Comments:

Integrity

• Demonstrates sincerity in actions with others.
• Maintains strong relationships with others.
• Fosters a high standard of ethics and integrity.
• Demonstrates honesty and truthfulness at all times.
• Develops trust and confidence from others.

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

Comments:

Continual Learning

• Seeks opportunities to grow in skills and knowledge.
• Takes the initiative to learn new skills.
• Builds on their strengths while addressing their weaknesses.
• Pursues self-improvement through continual learning.
• Pursues learning that will enhance job performance.

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

Comments:

Leadership

• Recognizes individual and team accomplishments and reward them appropriately.
• Acts decisively in implementing decisions.
• Guides decision-making by coaching, counseling and rewarding.
• Sets a high level of performance expectations and challenges others to do the same.
• Takes ownership and accountability for results

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

Comments:

Strategic Insight

• Creates a mission statement describing the purpose for the organization.
• Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
• Creates a vision for the organization based on insights gathered from other companies in the industry.
• Analyzes unique issues or problems impacting the Company.
• Strategically aligns projects to the goals of the company.

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.