Integrity - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Thank you for your participation in the survey.

Management Team

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Integrity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds long-term relationships through honesty with customers, even in small matters.
Makes decisions that are based on core principles and not on individual circumstances.
Exemplifies a high degree of business ethics, integrity, honesty, and fairness.
Recognizes and appreciates the efforts of team members regularly, even for minor tasks.
Maintains integrity as a core principle.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Will participate in training classes even if offered outside of normal working hours.
Creates an environment that supports personal development and exploration.
Embraces new technology and procedures.
Enhances value to the company through additional training and development.
Is committed to enhancing their own knowledge and skills.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is willing to enlist others to help create new solutions to existing problems.
Provides autonomy for individuals to explore ideas beyond their immediate tasks.
Identifies and develops unique strengths within the team to foster innovation.
Introduces tools and frameworks that support creative thinking.
Creates a lot of new ideas.
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Actively seeks and values feedback from a variety of sources, including peers, supervisors, and external stakeholders.
Determines the appropriate timeline for implementing feedback results.
Identifies specific steps to improve based on feedback and tracks progress over time.
Integrates improvement strategies into ongoing coaching and performance conversations.
Builds an atmosphere that fosters open communication, mutual respect, and perpetual growth to enable effective feedback exchanges between managers and their teams.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies the tasks or goals that have the biggest impact.
Maintains focus on long-term goals while adjusting short-term tactics.
Ensures that the department's plans support the broader vision and strategic goals of the organization.
Ensures access to subject matter experts or mentors for specialized guidance.
Sets appropriate goals for employees.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ability to establish realistic goals.
Consistently provides me with timely feedback for improving my performance.
Organizes and schedules events, activities, and resources.
Able to organize work.
Sets long-term and short-term goals.
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Negotiation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to control their emotional responses and correctly gauge the emotions of others.
Alters plans to respond to immediate challenges.
Maximizes information gathering efforts prior to negotiations.
Is resolute in positions to build trust and predictability.
Prepares thoroughly by analyzing and understanding each party's interests, alternatives, and options.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops a strategic vision for the future.
Integrates financial, operational, and market data to guide strategic priorities and resource allocation.
Analyzes unique issues or problems impacting the Company.
Creates strategies that significantly benefit the Company.
Translates complex industry trends into actionable strategies for the team/department.

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.