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.
• Maintains strong relationships with others.
• Establishes relationships of trust, honesty, fairness, and integrity.
• Follows tasks to completion.
• Demonstrates sincerity in actions with others.

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

Comments:

Creativity

• Is creative.
• Adds value to the department/organization.
• Is creative and inspirational.
• Develops solutions to challenging problems.
• Inspires creativity in their team.

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

Comments:

Innovation

• Challenges current procedures to develop other alternatives.
• Finds creative ways to get things done with limited resources.
• Implements best practices within the department.
• Takes risks to advance important ideas.
• Creates improved methods or solutions for meeting goals and objectives.

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

Comments:

Managing Risk

• Tracks and monitors incidents that may increase the risk of adverse consequences.
• Accurately perceives potential risks in the workplace.
• Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
• Creates a risk management strategy for the department.
• Seeks to maintain the long-term viability of the Company.

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

Comments:

Teamwork

• Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
• Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
• Builds consensus and shares relevant information.
• Seeks and listens to other's contributions
• Creates a culture that fosters and values collaboration.

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.