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. Follows tasks to completion.
  1. Accepts responsibility for mistakes.
  1. Maintains strong relationships with others.
  1. Does what was promised.
  1. Develops trust and confidence from others.
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. Embraces change and fosters an open-minded environment.
  1. Able to work effectively with new people and new teams.
  1. Adjusts strategy when new information is presented.
  1. Accommodates changes as needed.
  1. Adjusts plans to meet new situations.
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. Takes responsibility for meeting performance standards.
  1. Takes the initiative and does not wait for the situation to change.
  1. Avoids "Analysis Paralysis" through action.
  1. Drives and mobilizes others progress toward goals.
  1. Takes advantage of changes to the current situation.
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. Sets a high level of performance expectations and challenges others to do the same.
  1. Acts decisively in implementing decisions.
  1. Demonstrates leadership and courage in critical situations.
  1. Provides resources to enable individuals to develop professionally.
  1. Motivates and challenges employees to attain a shared vision.
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. Acknowledges employee contributions that support the bottom line.
  1. Provides employees with necessary resources to accomplish their goals.
  1. Continuously measures performance and provides feedback to employees regularly.
  1. Sets the Objectives and Key Results (OKRs) required for the position.
  1. Aligns individual and team goals with the organization's goals and objectives.
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. Implements and uses performance measures.
  1. Completes reports on-time.
  1. Takes responsibility for decisions.
  1. Has strong technical/computer skills.
  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. Organizes tasks for the most efficient order of completion.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Assigns tasks based on skills of team members.
  1. Coordinates the work of a team by assigning tasks to other team members.
  1. Prioritizes tasks for efficiency.
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. Identifies and addresses safety needs.
  1. Develops a culture of safety.
  1. Works to implement corrective safety measures.
  1. Performs work safely.
  1. Commits adequate resources toward safety measures.
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. Fosters an environment that supports strong client focus.
  1. Follows up with any unanswered questions from the client.
  1. Is consistent in services provided to clients.
  1. Uses feedback from the client to help improve the client's experience.
  1. Ensures client commitments and requirements are met or exceeded
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. Ensures customers are comfortable with the services provided.
  1. Anticipates and proactively resolves issues that the customer may face.
  1. Develops strong customer relationships.
  1. Creates documents that meet the customer's specifications.
  1. Creates new and innovative products for 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. Creates joint initiatives or projects that serve the common interests of all parties.
  1. Develops alliances with colleagues at other companies.
  1. Involves others in communications about any changing process.
  1. Strives to cultivate and maintain a partnership based on trust and commitment in relationships.
  1. Ensures all participants in the network are treated fairly and equitably.
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. Considers impact of actions on other areas of the organization.
  1. Understands business fundamentals and practices.
  1. Able to align resources to meet the business needs of the company.
  1. Recognizes trends in underlying data.
  1. Exhibits behavior that is consistent with the vision, mission, and core values of the organization
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.