Integrity - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Integrity

• Protects the integrity and confidentiality of subject data by anonymizing personal information.
• Accepts accountability for mistakes proactively, highlighting dedication to transparency and ethical practices.
• Delivers on all promises.
• Is willing to address any shortcomings.
• Maintains strong relationships with others.

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

Comments:

Creativity

• Avoids over-scheduling to preserve space for imaginative exploration.
• Able to innovate valuable ideas to solve problems.
• Builds creative bridges between teams.
• Thinks about tasks or problems in new or different ways.
• Generates original concepts that challenge conventional thinking.

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

Comments:

Innovation

• Assigns responsibilities to individuals for creating innovative ideas/products.
• Plays a pivotal role in fostering an environment where radical innovation can flourish and lead to major breakthroughs.
• Transforms raw ideas into actionable plans with a higher likelihood of successful implementation.
• Creates a safe environment for idea-sharing.
• Is able to think through complex problems using unique solutions.

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

Comments:

Managing Risk

• Creates informative guides regarding potential risks and risky behaviors.
• Accurately perceives potential risks in the workplace.
• Develops appropriate strategies to minimize risks.
• Anticipates the consequences of different potential risk events.
• Seeks specific risks that will create opportunities to advance the department/company.

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

Comments:

Teamwork

• Promotes open communication on the team.
• Willingly share their technical expertise
• Takes the time to listen to the team's ideas.
• Takes the time to actively listen to other team member's perspectives.
• Coaches team members

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.