Integrity - 360 Degree Feedback Survey Sample #3

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)

Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Integrity, Supervisory Skills, Delegation, Initiative, Commitment To Result, Safety, Co-worker Development, Conflict Management, Negotiation, Organizational Fluency

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make a great company.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Integrity	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Establishes relationships of trust, honesty, fairness, and integrity.
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Does what was promised.
Fosters an environment built upon trust.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is aware of the unique strengths of each employee.
Resolves personnel problems quickly and effectively.
Encourages employees to achieve their full potential.
Treats all staff equitably.
Maintains good working relationships with employees.
Please feel free to provide any comments to help explain your answers?

Delegation	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Defines the roles, responsibilities, required actions, and deadlines for team members.
Tells subordinates what to do, not how to do it.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Allows subordinates to use their own methods and procedures.
Please feel free to provide any comments to help explain your answers?

Initiative	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Takes the initiative to change the direction or course of events.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Immediately works to complete goals well before their deadline.
Takes action without being asked.
Prepares for unexpected contingencies.
Please feel free to provide any comments to help explain your answers?

Commitment To Result	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Willing to do whatever it takes-not afraid to have to put in extra effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Please feel free to provide any comments to help explain your answers?

Safety	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works to implement corrective safety measures.
Ensures compliance with safety regulations.
Participates in safety training as applicable.
Is not afraid to question a potential safety issue observed in the workplace.
Points out behaviors in others that may be unsafe.
Please feel free to provide any comments to help explain your answers?

Co-worker Development	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Please feel free to provide any comments to help explain your answers?

Conflict Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Discusses conflict situations with supervisor.
Clearly expresses expectations to others.
Tries to understand others' point of view before making judgments
Identifies and takes steps to prevent potential confrontations.
Deals effectively with employee grievances.
Please feel free to provide any comments to help explain your answers?

Negotiation	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Able to say "no" when it is essential to maintaining quality and high standards.
Influences others through rational argument and persuasion.
Is able to decline bad ideas to avoid making poor decisions.
Leverages relationships with others to achieve goals.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Gets things done through the department.
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.
Effective in communicating with others within the organization.
Understands the current organizational culture.
Please feel free to provide any comments to help explain your answers?