Integrity - 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.

Integrity

• Develops trust and confidence from others.
• Follows tasks to completion.
• Fosters a high standard of ethics and integrity.
• Protects the integrity and confidentiality of information
• Accepts responsibility for mistakes.

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

Comments:

Creativity

• Is creative and inspirational.
• Creates a lot of new ideas.
• Inspires creativity in their team.
• Adds value to the department/organization.
• Conceives, implements and evaluates ideas.

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

Comments:

Innovation

• Suggests new ideas at meetings.
• Encourages open communication to ensure that all proposals are considered.
• Builds upon the ideas and solutions of others.
• Offers constructive improvements to existing systems.
• Searches for opportunities and innovative ways to improve the organization.

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

Comments:

Managing Risk

• Responds appropriately to unexplained or unanticipated events.
• Seeks to maintain the long-term viability of the Company.
• Maintains open communication with other departments.
• Knows how to obtain desired results with minimal losses.
• Able to adapt quickly to changing situations.

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

Comments:

Teamwork

• Encourages collaboration with other departments.
• Willingly share their technical expertise
• Communicates a clear message that teamwork and collaboration are expected.
• Contributes to and supports team decision-making process
• Effective team player

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.