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.

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 do what was promised.
  1. You accept responsibility for mistakes.
  1. You establish relationships of trust, honesty, fairness, and integrity.
  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 expand current job responsibilities.
  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 expand and learn new job skills.
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 build open and trusting relationships.
  1. You are gracious and professional in your interactions with others.
  1. You treat all people fairly and with respect.
  1. You contribute to a positive and fun 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 communicate with the necessary stakeholders if the budget targets are missed.
  1. You conduct a risk assessment for each phase of the project.
  1. You create the implementation strategy for the project.
  1. You ensure work is completed to the appropriate standards.
  1. You outline key project dates and milestones.
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 are confident in the decisions you make.
  1. I carefully evaluate information before making an important decision.
  1. I am receptive to new ideas from others when making decisions.
  1. You determine the costs and potential benefits of decisions.
  1. You come across as confident, decisive, and resilient
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 attend to the important details of a job or task.
  1. You provide a clear vision for the future.
  1. You check details thoroughly.
  1. You clarify problems and their causes to help employees correct them.
  1. You clearly explains responsibilities to individuals.
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 establish goals and objectives.
  1. You are able to organize work.
  1. You communicate goals and objectives to employees.
  1. You consistently provide me with timely feedback for improving my performance.
  1. You effectively organize resources and plans
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 take immediate action on poor performance
  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 focus on understanding the other team member's message.
  1. You create opportunities to learn with other team members
  1. You encourage teamwork and collaboration.
  1. I work with other team members to identify bottle necks in the production process.
  1. I facilitate effective teamwork during periods of change.
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 inspire employees to adopt the strategic plan.
  1. You analyze records and reports to obtain insight into potential issues and trends.
  1. You meet with customers to gain insight into their core needs and how best to serve them.
  1. You let employees know how their roles contribute toward the achievement of strategic company objectives.
  1. You maintain knowledge of current trends in the industry.
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 create a common vision for others.
  1. You facilitate employees' adoption of the organization vision.
  1. I encourage employees to prioritize activities that contribute to the vision.
  1. You align subordinates' work with the vision's critical priorities.
  1. I focus subordinates' work on critical aspects of the vision.
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.