Integrity - 360 Degree Feedback Survey Sample #1

Instructions:

The 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.

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 and . 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
Protects the integrity and confidentiality of information
Does what was promised.
Fosters a high standard of ethics and integrity.
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
If 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
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Is flexible and open minded in dealing with others.
Able to quickly learn new ways of performing their job.
Is proactive and takes steps to prepare for changes in the workplace.
Develops insights and applies innovative solutions to projects and problems.
If 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
Works quickly when faced with difficult problems.
Is not afraid to take corrective action when necessary.
Makes effective decisions, even when under pressure.
Displays high energy and enthusiasm on consistent basis.
Drives and mobilizes others progress toward goals.
If 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
Takes ownership and accountability for results
Acts decisively in implementing decisions.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Able to influence others.
Gives direct, constructive, and actionable feedback.
If 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
Is consistent in disciplinary/corrective actions.
Uses timely and appropriate corrective/disciplinary actions.
Recognizes and values good performance.
Sets specific and measurable goals for others and follows through to completion.
Provides employees with necessary resources to accomplish their goals.
If 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
Enthusiastic about taking on challenging projects.
Completes reports on-time.
High attention to detail.
Implements and uses performance measures.
Has strong technical/computer skills.
If 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
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Assesses current capabilities before committing to new requests from customers.
Bounces back from daily crisis, disappointments and frustrations.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Can multi-task while performing all of their other responsibilities and activities.
If 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
Creates accurate and effective measures of safety.
Is aware of OSHA safety guidelines.
Commits adequate resources toward safety measures.
Performs work safely.
Encourages others to attend safety training.
If 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
Satisfies client needs.
Maintains strong relationships with clients.
Is pro-active in dealing with clients and addressing their needs.
Looks for opportunities that have a positive impact on Clients.
Forms strong client relationships
If 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
...friendliness and courtesy
Ensures all customer commitments and requirements are met or exceeded.
Does not hesitate to address customer concerns or complaints.
Develops good rapport and trust with the customer.
Maintains positive customer relationships.
If 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
Promotes the understanding of how the department affects the organization overall.
Partners with peers to obtain influence within the Company.
Builds alliances between departments and teams.
Maintains infrastructure to support partnerships and networks.
Seeks to reduce institutional roadblocks to information sharing.
If 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
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Applies the knowledge of work processes to influence the achievement of business goals
Asks the 'right' questions to size up or evaluate situations.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Considers impact of actions on other areas of the organization.
If were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

61. What are 's greatest strengths demonstrated this year?
    
    
    
62. What are 's areas for development?
    
    
    
63. Please give any final comments or suggestions for 's assessment.