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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.
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Integrity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You demonstrate honesty and truthfulness at all times.
  1. You foster a high standard of ethics and integrity.
  1. You foster an environment built upon trust.
  1. You develop trust and confidence from others.
  1. You accept responsibility for mistakes.
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 look for ways to expand current job responsibilities.
  1. You look for ways to expand and learn new job skills.
  1. You promote training and development opportunities to enhance job performance.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You are open to the suggestions from others.
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 are gracious and professional in your interactions with others.
  1. You treat all people fairly and with respect.
  1. You build open and trusting relationships.
  1. You contribute to a positive work environment.
  1. You show by your actions that you trust in the positive intentions of others.
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 identify risks to each phase of the project.
  1. You keep accurate records regarding the costs of various aspects of the project.
  1. You locate the financial resources to budget for the project.
  1. You plan and implement responses to potential threats to the success of the project.
  1. You ensure work is completed to the appropriate standards.
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. I view issues from multiple perspectives before making a decision.
  1. I make good decisions for the Department.
  1. You determine the costs and potential benefits of decisions.
  1. You decide which long-term goals should be met.
  1. You examine relevant factors needed to make a decision.
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 use appropriate grammar and tense in communications.
  1. You clearly define work objectives for employees.
  1. You avoid stating unclear or conflicting goals.
  1. You clearly explain the vision and goals of the company.
  1. You are clear about goals that need to be achieved.
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 set long-term and short-term goals.
  1. You establish goals and objectives.
  1. You communicate goals and objectives to employees.
  1. You assure [Company] principles are understood, employed & pursued.
  1. You are able to establish realistic 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 adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You set and clearly communicate expectations, performance goals, and measurements to others
  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. I listen carefully to other team members.
  1. You contribute to and supports team decision-making process
  1. You build relationships across boundaries and with key stakeholders by developing informal and formal networks.
  1. You identify and resolves conflicts within the team to increase team effectiveness
  1. I facilitate good rapport between 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 identify root causes of problems.
  1. I inspire employees to adopt the strategic plan.
  1. You identify potential problems before they become critical incidents.
  1. You create strategies that significantly benefit the Company.
  1. You analyze records and reports to obtain insight into potential issues and trends.
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 chart a bold course for the department's rapid evolution and expansion.
  1. You create strategic initiatives that support the organization's common vision.
  1. I recognize issues and formulate solutions.
  1. I am able to see trends in the business environment.
  1. I am aware of my own actions and how that impacts the department.
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.