Integrity - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others. A report will be shared with you at the conclusion of this project.

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 this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

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Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I view integrity as a foundational value for managers to build strong interpersonal relationships.
I consistently demonstrate a high degree of integrity, whether in public or in private.
I make tough choices that prioritize long-term trust and credibility over short-term gains.
You conduct regular data handling training sessions for employees.
You do not withhold important information needed by others.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You allow employees to fully participate in employee training and professional development.
You keep yourself up-to-date of technical/professional issues
You are contributing fully to the extent of your skills
You seek opportunities for professional development.
You quickly acquire and apply new knowledge and skills when needed
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You ground recommendations in data and evidence, enhancing credibility and trust in decision-making.
You anticipate future trends and communicate their implications in a way that energizes and prepares the team.
You work to persuade others.
You prepare visual aids, storytelling elements, or analogies in advance to reinforce complex points.
I frame proposals in terms of share benefits, linking outcomes to what matters most to the audience.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You focus on creating new value for our products/services.
You offer constructive improvements to existing systems.
You improve on ideas of others.
You develop effective solutions for viewing problems from a different point of view.
I create a framework to support innovation.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You successfully complete the orientation training program.
You maintain high performance standards.
You accept setbacks and challenges as improvement opportunities
I operate with relentless drive, consistently meeting and surpassing deadlines.
You cut through red tape to enhance efficiency and remove unnecessary hurdles.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You willingly share your technical expertise; sought out as resource by others
You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
You know how to produce high quality products/work.
You are naturally sought out by people outside your particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
You seek information from others as needed.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are planful and organized.
You take a lot of pride in your work.
You demonstrate the analytical skills to do your job.
You produce high quality work.
You demonstrate the functional or technical skills necessary to do your job.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I allow employees to take on more responsibilities.
You set clear goals for assignments.
You provide support and resources needed to accomplish goals.
You create opportunities for employees to exercise their independence.
You distribute the workload to subordinates.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are empathetic to the current workload and situation that the employee may be experiencing.
I offer coaching when it is needed.
I demonstrate that challenges are temporary and often lead to growth.
You help employees achieve high performance.
You provide assignments and experiences to develop employees.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I anticipate the impacts of strategic plans.
I determine the allocation of funds based on plans for future development.
I adjust plans as needed according to situational/strategic changes.
You make plans and follows through.
You develop proper plans to ensure seamless flow of materials through logistics.

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

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

    
    
52. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
53. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
54. Additional comments, if any for [Participant Name Here]'s assessment.