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

• Develops new products and services.
• Fosters a creative and innovative work environment.
• Finds creative ways to get things done with limited resources.
• Challenges current procedures to develop other alternatives.
• Analyzes current procedures and identifies opportunities for improvement.

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

Comments:

Integrity

• Protects the integrity and confidentiality of information
• Accepts responsibility for mistakes.
• Demonstrates honesty and truthfulness at all times.
• Fosters an environment built upon trust.
• Maintains strong relationships with others.

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

Comments:

Continual Learning

• Takes charge of their training and skills enhancement.
• Views setbacks as opportunities to learn from.
• Pursues learning that will enhance job performance.
• Seeks opportunities to grow in skills and knowledge.
• Grasps new ideas, concepts, technical, or business knowledge.

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

Comments:

Leadership

• Sits down regularly with employees to review their job performance.
• Expresses clear goals and objectives.
• Highly effective supervisor.
• Acts decisively in implementing decisions.
• Holds others accountable for their actions.

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

Comments:

Strategic Insight

• Implements long-term solutions to problems.
• Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
• Anticipates business cycles and trends and makes adjustments in a timely manner.
• Attends industry conferences to gain further insight into how other companies deal with similar issues.
• Pursues strategic alliances with valued partners.

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.