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Integrity - 360 Degree Feedback Survey Sample #2





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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. 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 as an employee over the last twelve months and the goals you were asked to achieve. 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 become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Integrity, Continual Improvement, Attitude, Project Management, Decision Making, Clarity, Objectives, Co-worker Development, Teamwork, Strategic Insight, Vision
Sample Result Document:
Sample Results
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.

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

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You take ownership for the process and outcomes.
  1. You maintain a consistent level of integrity in all situations to earn the trust and respect of your colleagues and subordinates.
  1. I serve the needs of customers with integrity and trust.
  1. I distribute the workload evenly among all team members.
  1. I show respect and tolerance for others with different beliefs demonstrating integrity as a core value.
What are your suggestions for how you can make improvements
in Integrity?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You analyze processes to determine areas for improvement.
  1. You look for ways to improve work processes and procedures.
  1. You look for ways to expand and learn new job skills.
  1. I foster a culture of open communication and continuous improvement.
What are your suggestions for how you can make improvements
in Continual Improvement?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I share ideas proactively, even when the ideas are unconventional or unfinished, trusting the collaborative process.
  1. I strive to support team success through personal accountability and proactive effort.
  1. You express belief in the team's ability to overcome obstacles and deliver results.
  1. I demonstrate care and thoughtfulness in even the smallest tasks.
  1. You speak positively about the organizational direction, helping staff to see the bigger picture.
What are your suggestions for how you can make improvements
in Attitude?

Project Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You formulate the schedule for the project phases, resources usage, and benchmarks.
  1. You create the communications that will be used throughout the project's implementation.
  1. I can change the implementation of specific phases of the project to mitigate certain risks.
  1. You develop action items, workplans, timelines, and criteria for projects.
  1. You meet with stakeholders to determine the requirements for the project.
What are your suggestions for how you can make improvements
in Project Management?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You apply creative reasoning in making decisions.
  1. You are confident in the decisions you make.
  1. I carefully evaluate information before making an important decision.
  1. You learn from previous bad decisions and rarely repeat them.
  1. You determine the costs and potential benefits of decisions.
What are your suggestions for how you can make improvements
in Decision Making?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You communicate ideas and facts clearly and effectively in writing.
  1. You make sure goals and objectives are clearly and thoroughly explained and understood.
  1. You maintain clarity in goals and objectives.
  1. You avoid creating ambiguity or mixed messages.
  1. You attend to the important details of a job or task.
What are your suggestions for how you can make improvements
in Clarity?

Objectives

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You organize and schedules events, activities, and resources.
  1. You are able to organize work.
  1. You set long-term and short-term goals.
  1. You communicate goals and objectives to employees.
  1. You encourage others to take on greater responsibility.
What are your suggestions for how you can make improvements
in Objectives?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You set and clearly communicate expectations, performance goals, and measurements to others
  1. You provide ongoing feedback to co-workers on your development progress
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You take immediate action on poor performance
  1. You work to identify root causes of performance problems
What are your suggestions for how you can make improvements
in Co-worker Development?

Teamwork

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You foster teamwork rather than individual competition
  1. I help the team to bounce back from obstacles.
  1. I establish good rapport with team members.
  1. You foster respect and understanding among team members
  1. You promote a team spirit within and outside department; partners with other groups.
What are your suggestions for how you can make improvements
in Teamwork?

Strategic Insight

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I detect possible misalignments between team activities and strategic goals by regularly reviewing outputs against KPIs.
  1. I recognize the needs of customers.
  1. You ensure that the department's goals are strategically aligned with the company's goals.
  1. You create a mission statement describing the purpose for the organization.
  1. You develop a plan and strategy for each functional area within the mission statement.
What are your suggestions for how you can make improvements
in Strategic Insight?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I guide employees to prioritize crucial components of the vision.
  1. You promote a vision that inspires individuals to take risks to achieve greater rewards.
  1. You lead with a growth-oriented mindset, driving innovation and expansion.
  1. You create a workplace culture that reflects the organizational vision.
  1. I shape the department's vision into actionable goals.
What are your suggestions for how you can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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