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

• Fosters a high standard of ethics and integrity.
• Establishes relationships of trust, honesty, fairness, and integrity.
• Fosters an environment built upon trust.
• Follows tasks to completion.
• Accepts responsibility for mistakes.

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

Comments:

Creativity

• Creates a lot of new ideas.
• Develops solutions to challenging problems.
• Inspires creativity in their team.
• Conceives, implements and evaluates ideas.
• Is creative.

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

Comments:

Innovation

• Creates improved methods or solutions for meeting goals and objectives.
• Suggests new ideas at meetings.
• Implements best practices within the department.
• Encourages open communication to ensure that all proposals are considered.
• Finds creative ways to get things done with limited resources.

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

Comments:

Managing Risk

• Conducts internal audit of risk assessments.
• Performs regular risk analyses to minimize adverse outcomes.
• Responds appropriately to unexplained or unanticipated events.
• Anticipates the consequences of different potential risk events.
• Maintains open communication with other departments.

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

Comments:

Teamwork

• Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
• Listens to the opinions of other team members.
• Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
• Helps the team make good decisions even under conditions of uncertainty.
• 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.