Integrity - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. 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 [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills 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 . 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
Provides honest and truthful information to others.
Is willing to address any shortcomings.
Reinforces integrity through personal example.
Consistently holds others accountable for their actions to build and maintain a level of trust and integrity.
Takes responsibility for the ethical culture created at the company and holds employees accountable for their actions.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Values the opinions of diverse groups and individual.
Consistently acknowledges and validates the contributions of team members from all backgrounds.
Seeks out opportunities to learn about different cultures and integrates that knowledge into leadership practices.
Actively listens to diverse viewpoints without judgment or dismissal.
Acknowledges and celebrates cultural holidays, milestones, and traditions within the team.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Listens and responds to issues and problems
Effective in performing his/her job.
Sets a high standard for job performance.
Works well in this position.
...Produce Quality
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Flexible in adjusting to the demands of the market place.
Builds a more engaged and cohesive team willing to pivot and support each other through transitions and changes.
Modifies solutions based on new information.
Is resilient and proactive to help thrive in unpredictable environments.
Allows for flexibility in the agenda for the team meeting.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Quickly responds to problems and issues.
Is not afraid to take corrective action when necessary.
Drive and mobilizes others progress toward goals.
Communicates clear goals, expectations, and timelines to ensure everyone is aligned and working towards the same objectives.
Highlights the implementation action plan for each idea created.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Updates the documentation as soon as the situation changes.
Takes action to implement new changes in the policies and procedures.
Will continue to work on a problem even in the face of obstacles.
Acts independently to solve pressing needs.
Goes above and beyond the stated goals.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines success metrics and tracks progress against them consistently.
Takes responsibility for outcomes rather than deflecting blame when challenges arise.
Shares knowledge and resources to accelerate team learning and productivity.
Exceeds performance requirements.
Helps the team maintain focus on the goals.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports technical training and development of employees.
Uses technology in decision making and problem solving.
Supports employee training and development initiatives regarding implementation of technology.
Maximizes the use of new technology to deliver products and services.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes assigned work tasks.
Works in a way that makes others want to work with her/him.
Responsible for setting the vision of the department.
Sets high personal standards of performance.
Is a person you can trust.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Set clear goals for assignments.
Helps employees advance their skills so that they can have more autonomy.
Allows employees to make their own decisions.
Acknowledges and appreciates employees for their proactive decision-making.
Gives employees the authority to act on their own.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages peers to recognize each other in real-time.
Recognizes the abilities and skills of self and others
Creates awards that promote or recognize core values of the company.
Uses a systematic approach to implementing recognition programs.
Makes people around them feel appreciated and valued.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees see their work as a reflection of the company's purpose and legacy.
Promotes our image as that of a high quality company.
Defines clear roles and responsibilities to reduce friction and enhance coordination
Creates a team structure that supports strong collaboration and communication.
Speaks confidently about the company's ability to adapt and thrive.

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: