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 demonstrate sincerity in actions with others.
  1. You protect the integrity and confidentiality of information
  1. You accept responsibility for mistakes.
  1. You foster an environment built upon trust.
  1. You foster a high standard of ethics and integrity.
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 look for ways to improve work processes and procedures.
  1. You promote training and development opportunities to enhance job performance.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You look for ways to expand current job responsibilities.
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 contribute to a positive and fun work environment.
  1. You are gracious and professional in your interactions with others.
  1. You work to eliminate unnecessary work or barriers that get in others' way.
  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. I can acquire and allocate internal and external resources needed for the project.
  1. I can change the implementation of specific phases of the project to mitigate certain risks.
  1. You organize work and sets priorities as needed.
  1. You follow progress on the project from initial phase to completion.
  1. I determine the project scope.
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 come across as confident, decisive, and resilient
  1. You do not lose sight of the big picture when making decisions
  1. You determine the constraints that may impact what decisions are acceptable.
  1. You assess the risks, benefits, and potential impact of a number of options when deciding a course of action
  1. I define the parameters that will impact the decision making process.
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 make sure goals and objectives are clearly and thoroughly explained and understood.
  1. You write clear job descriptions for positions in the organization.
  1. You make sure employees understand why they were given certain assignments.
  1. You attend to the important details of a job or task.
  1. You use appropriate grammar and tense in communications.
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 assure [Company] principles are understood, employed & pursued.
  1. You communicate goals and objectives to employees.
  1. You effectively organize resources and plans
  1. You set long-term and short-term goals.
  1. You work toward achieving established goals and objectives.
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 take immediate action on poor performance
  1. You set and clearly communicate expectations, performance goals, and measurements to others
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You give others development opportunities through project assignments and increased job responsibilities
  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. I listen carefully to other team members.
  1. You actively and openly participates in team meetings.
  1. You encourage others to share ideas to develop team cohesion
  1. I work with other team members to identify bottle necks in the production process.
  1. You communicate well with team members.
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 adjust strategic plans based on insights gathered from different points of view.
  1. I create a vision for the organization based on insights gathered from other companies in the industry.
  1. You identify root causes of problems.
  1. You let employees know how their roles contribute toward the achievement of strategic company objectives.
  1. You have conversations with customers and clients to get a better insight into their personal needs.
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 behave in a way that is consistent with business values & code of conduct
  1. You develop action plans to align your work with the goals of the organization
  1. You demonstrate consistency between words and actions
  1. You understand the vision of the Company and promote it ahead of any self-interests.
  1. You create a positive vision of the future for the Company.
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.