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)
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.


Integrity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You protect the integrity and confidentiality of information
  1. You do what was promised.
  1. You follow tasks to completion.
  1. You accept responsibility for mistakes.
  1. You foster an environment built upon trust.
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 are open to the suggestions from others.
  1. You look for ways to improve work processes and procedures.
  1. You analyze processes to determine areas for improvement.
  1. You look for ways to expand current job responsibilities.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
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. You work to eliminate unnecessary work or barriers that get in others' way.
  1. You are gracious and professional in your interactions with others.
  1. You contribute to a positive and fun work environment.
  1. You contribute to a positive work environment.
  1. You treat all people fairly and with respect.
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 determine the project strategy for implementation.
  1. You implement risk mitigation strategies to help move the project to successful completion.
  1. You ensure resources are utilized at the appropriate levels for each phase of the project.
  1. I ensure the project is executed on time and on budget.
  1. You establish communication protocols for messaging team members and stakeholders.
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 decide which long-term goals should be met.
  1. You determine the constraints that may impact what decisions are acceptable.
  1. You understand factors are important for deciding if a decision is "worth it"?
  1. I understand how my decisions will affect others.
  1. I decide which short- and long-term goals should be created.
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 avoid stating unclear or conflicting goals.
  1. You attend to the important details of a job or task.
  1. You clearly explain the vision and goals of the company.
  1. You communicate ideas and facts clearly and effectively in writing.
  1. You are clear about the roles and duties of team members.
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 effectively organize resources and plans
  1. You assure [Company] principles are understood, employed & pursued.
  1. You work toward achieving established goals and objectives.
  1. You are able to organize work.
  1. You set long-term and short-term goals.
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 give others development opportunities through project assignments and increased job responsibilities
  1. You set and clearly communicate expectations, performance goals, and measurements to others
  1. You work to identify root causes of performance problems
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You provide ongoing feedback to co-workers on your development progress
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. I help the team bounce back from obstacles to progress.
  1. You are open to new ideas that may change own goals for benefit of the team
  1. I took the time to listen to the team's ideas.
  1. You join with other team members to brainstorm solutions to the problem.
  1. You encourage teamwork and collaboration.
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. You implement long-term solutions to problems.
  1. You analyze records and reports to obtain insight into potential issues and trends.
  1. You understand how to strategically grow the business and increase customers.
  1. You analyze unique issues or problems impacting the Company.
  1. You let employees know how their roles contribute toward the achievement of strategic company objectives.
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. You craft a compelling vision that motivates employees to align their efforts with the organization's goals.
  1. You define an ideal image for what the department should look like in the future.
  1. You create a vision that adds value to the organization.
  1. I create a clear and inspiring vision statement that outlines the desired future for the company.
  1. You develop and execute a strategic vision for the organization.
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.