Integrity - 360 Degree Feedback Survey Sample #5

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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Integrity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
Fosters a high standard of ethics and integrity.
Maintains strong relationships with others.
Demonstrates sincerity in actions with others.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes initiative for own learning and development.
Critiques own performance and learns from experience as a source of continuous improvement.
Constantly enhances product knowledge through experimentation and play.
Actively seeks to learn by asking questions and listening to all store associates.
Persists until goals are achieved and commitments are met.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Is creative.
Inspires creativity in their team.
Creates a lot of new ideas.
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accepts the views of others.
Looks to others for input.
Seeks feedback to enhance performance.
Is easy to approach with ideas and opinions.
Actively seeks feedback from others.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps guide employees with prioritizing tasks.
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Stays focused even when under pressure and stress.
Sets appropriate goals for employees.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ability to establish realistic goals.
Able to organize work.
Sets long-term and short-term goals.
Consistently provides me with timely feedback for improving my performance.
Establishes goals and objectives.
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
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
Negotiation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to say "no" when it is essential to maintaining quality and high standards.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Influences others through rational argument and persuasion.
Is able to decline bad ideas to avoid making poor decisions.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies root causes of problems.
Analyzes unique issues or problems impacting the Company.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Formulates strategies and action plans to ensure successful completion of goals and objectives.

45. Overall, please rate the effectiveness of .
    

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

    
    
46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for 's assessment.