HR-Survey > 360-Degree Feedback > Competency Model > Integrity

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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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. Follows tasks to completion.
  1. Maintains strong relationships with others.
  1. Does what was promised.
  1. Demonstrates sincerity in actions with others.
  1. Fosters a high standard of ethics and integrity.
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. Is open to new ideas and innovations.
  1. Responds quickly to new information.
  1. Effective in working with different personnel of the team.
  1. Able to quickly learn new ways of performing their job.
  1. Adapts to changes in team membership.
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. Is ambitious when working on the project.
  1. Takes action to respond to dissatisfied customer.
  1. Regularly conducts preventative maintenance on the equipment.
  1. Completes tasks on time in spite of delays in the process.
  1. Persists in work despite obstacles encountered.
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. Gives inspiring presentations or discussions.
  1. Highly effective supervisor.
  1. Recognizes individual and team accomplishments and reward them appropriately.
  1. Leads team to set goals, solve problems, and accomplish tasks.
  1. Effectively leads others.
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. Initiates probationary actions for employees with sub-par performance.
  1. Makes sure the team's goals are met.
  1. Stresses the importance of meeting production quotas.
  1. Provides additional responsibilities for employees that exceed performance standards.
  1. Provides employees with training as needed to increase their performance.
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. Completes reports on-time.
  1. Accurately implements contract provisions.
  1. Enthusiastic about taking on challenging projects.
  1. Takes responsibility for decisions.
  1. Strong organizational skills to keep the workspace and department in order
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. Coordinates the work of a team by assigning tasks to other team members.
  1. Switches attention to more urgent tasks when necessary.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Begins tasks as soon as possible.
  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. Participates in safety training when available.
  1. Identifies and addresses safety needs.
  1. Performs work safely.
  1. Identifies predictable hazards in the workplace.
  1. Participates in safety training when offered.
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. Exhibits a positive attitude even when dealing with difficult clients.
  1. Gives feedback to the client regularly.
  1. Responds to the needs of the client.
  1. Creates innovative solutions to meet client needs.
  1. Transparent in all communications with the client.
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. Adapts to changing customer needs.
  1. Is honest in all communication with the customers.
  1. Makes sure customer needs are understood by the team members.
  1. Has excellent communication with customers.
  1. Actively listens to concerns from customers.
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. Develops effective peer to peer working relationships.
  1. Creates a shared knowledge base or resource center accessible to all partners.
  1. Engages in continuous dialogue through regular meetings or virtual meetups.
  1. Partners with other organizations to develop new technologies and processes.
  1. Hosts industry events or meetups to bring partners and networks together.
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 the financial metrics used by the company.
  1. Accurately perceives potential risks to the business.
  1. Bases decisions on business data rather than on intuition or hunches.
  1. Effectively troubleshoots customer business issues.
  1. Establishes clear, long-term objectives that align with the company's vision and mission.
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.