Integrity - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Integrity:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Integrity, Adaptability, Action, Leadership, Managing Performance, Administrative Skill, Juggling Multiple Responsibilities, Safety, Client Focus, Customer Focus, Partnering/Networking, Business Acumen
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops trust and confidence from others.
  1. Fosters a high standard of ethics and integrity.
  1. Does what was promised.
  1. Demonstrates sincerity in actions with others.
  1. Fosters an environment built upon trust.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Learns from personal experiences and/or mistakes.
  1. Adjusts priorities to changing business goals.
  1. Is aware of changes in the environment.
  1. Adjusts plans to meet new situations.
  1. Embraces change and fosters an open-minded environment.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Avoids "Analysis Paralysis" through action.
  1. Takes steps to prepare for the start of the project.
  1. Is ambitious when working on the project.
  1. Will take action to address a problem rather than to wait to confer with others about the situation.
  1. Takes advantage of opportunities to move the organization forward.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Motivates others to reach and exceed organizational goals and objectives.
  1. Highly effective supervisor.
  1. Sits down regularly with employees to review their job performance.
  1. Holds others accountable for their actions.
  1. Guides decision-making by coaching, counseling and rewarding.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Regularly conducts performance reviews of all employees.
  1. Identifies specific actions to be addressed through the remediation plan.
  1. Communicates the roles and responsibilities to the employee.
  1. Ensures the eligibility of the proposed award recipient.
  1. Uses timely and appropriate corrective/disciplinary actions.
If [Participant Name] were to make improvements in Managing Performance, what are your suggestions for how he/she can improve this?

Administrative Skill

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes responsibility for decisions.
  1. Enthusiastic about taking on challenging projects.
  1. Strong organizational skills to keep the workspace and department in order
  1. Implements and uses performance measures.
  1. Accurately implements contract provisions.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Spends the most time and effort on critical tasks first.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Safety

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops a culture of safety.
  1. Works to implement corrective safety measures.
  1. Commits adequate resources toward safety measures.
  1. Is not afraid to question a potential safety issue observed in the workplace.
  1. Points out behaviors in others that may be unsafe.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

Client Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is honest in all communication with the clients.
  1. Is competent in handling client cases.
  1. Is committed to the client's success.
  1. Maintains up-to-date information regarding client products.
  1. Builds long term relationships with clients.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?

Customer Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Exceeds expectations of the customers.
  1. Does not hesitate to address customer concerns or complaints.
  1. Uses customer feedback to help improve products and services.
  1. Makes sure team members understand the issues faced by the customer.
  1. Maintains positive customer relationships.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Partnering/Networking

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Seeks to reduce institutional roadblocks to information sharing.
  1. Promotes the understanding of how the department affects the organization overall.
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.
  1. Develops a sense of trust in subordinates so they can freely interact and share information with others.
  1. Builds alliances between departments and teams.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?

Business Acumen

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Understands consumer behaviors and how they may change in the future.
  1. Aware of regulations that impact our business.
  1. Understands complex issues and problems.
  1. Seeks to better understand other areas of the company, including their operations, personnel, and output.
  1. Recognizes trends in underlying data.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.