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

• Solves problems with insight and understanding.
• Analyzes current procedures and identifies opportunities for improvement.
• Takes risks to advance important ideas.
• Creates improved methods or solutions for meeting goals and objectives.
• Suggests new ideas at meetings.

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

Comments:

Integrity

• Fosters an environment built upon trust.
• Establishes relationships of trust, honesty, fairness, and integrity.
• Maintains strong relationships with others.
• 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

• Builds on their strengths while addressing their weaknesses.
• Grasps new ideas, concepts, technical, or business knowledge.
• Participates in regular training offered.
• Takes the initiative to learn new skills.
• Seeks opportunities to grow in skills and knowledge.

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

Comments:

Leadership

• Sets a high level of performance expectations and challenges others to do the same.
• Gives direct, constructive, and actionable feedback.
• Recognizes individual and team accomplishments and reward them appropriately.
• Acts decisively in implementing decisions.
• Is a highly effective supervisor.

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

Comments:

Strategic Insight

• Identifies potential problems before they become critical incidents.
• Maintains knowledge of current trends in the industry.
• Creates strategies that significantly benefit the Company.
• Analyzes unique issues or problems impacting the Company.
• Implements long-term 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.