Integrity - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates sincerity in actions with others.
Accepts responsibility for mistakes.
Protects the integrity and confidentiality of information
Demonstrates honesty and truthfulness at all times.
Fosters a high standard of ethics and integrity.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks out different viewpoints and benefits from different perspectives.
Values the opinions of diverse groups and individual.
Recognizes and values individual and cultural differences.
Encourages a work environment where individual differences are valued.
Respects others regardless of age, race, gender, nationality, or disability.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively in the department.
Listens and responds to issues and problems
Effective in performing his/her job.
Effectively organizes resources and plans
Shown significant improvement in job performance.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements changes as a result of having listened to employees
Adapts to circumstances as needed.
Willing to try new ideas.
Identifies new opportunities to achieve goals
Able to adapt to new situations.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates others to achieve or exceed goals
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Completes a large volume of work.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Immediately works to complete goals well before their deadline.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Prepares for unexpected contingencies.
Takes action without being asked.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Works toward achievement of goals even when confronted with obstacles.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Inspires and motivates co-workers to be productive and energetic at work
Explains the "whys" behind organizational objectives
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Supports technical training and development of employees.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...takes personal responsibility for results.
Is a person you can trust.
Sets a good example
Holds herself / himself accountable to goals / objectives
Sets high personal standards of performance.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Allows individuals to be responsible for their decisions.
Provides support and resources needed to accomplish goals.
Encourages others to obtain necessary skills and training.
Distributes the workload to subordinates.
Encourages employees to solve problems on their own.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Reinforces and rewards employees for accomplishing necessary goals.
Makes people around them feel appreciated and valued.
Readily shares credit and gives others opportunity for visibility.
Compliments other people when they do good work
Recognizes team members who offer a significant contribution to a project.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].

61. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor

    
    

62. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
63. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
    
64. What changes do you see [Company] making in order to raise the standards?
    
    
    
65. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
    
66. What do you like best about working for [Company]?
    
    
    
67. What do you like least about working for [Company]? How could it be improved?
    
    
93. Use the space below to enter any final comments you would like to be noted: