Integrity - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Integrity:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Protects the integrity and confidentiality of information
  1. Fosters an environment built upon trust.
  1. Fosters a high standard of ethics and integrity.
  1. Does what was promised.
  1. Maintains strong relationships with others.

Continual Improvement

Agree Unsure Disagree N/A
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.
  1. Promotes training and development opportunities to enhance job performance.
  1. Open to the suggestions from others.

Supervisory Skills

Agree Unsure Disagree N/A
  1. Is aware of the unique strengths of each employee.
  1. Delegates effectively.
  1. Resolves personnel problems quickly and effectively.
  1. Provides constructive, ongoing feedback.
  1. Maintains good working relationships with employees.


Agree Unsure Disagree N/A
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Tells subordinates what to do, not how to do it.
  1. Allows subordinates to use their own methods and procedures.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.


Agree Unsure Disagree N/A
  1. Always strives to produce the highest quality work products.
  1. Reflects on what is working and what could be improved.
  1. Corrects issues in a timely manner.
  1. Encourages employees to produce the best quality products.
  1. Encourages others to achieve high quality standards.

Change Management

Agree Unsure Disagree N/A
  1. Adopts changes to set and example for others to follow.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Effective in implementing new organizational vision and values.
  1. Addresses organizational and departmental resistance to changes.
  1. Supports the Company's efforts to implement changes.

Client Focus

Agree Unsure Disagree N/A
  1. Looks for opportunities that have a positive impact on Clients.
  1. Is pro-active in dealing with clients and addressing their needs.
  1. Satisfies client needs.
  1. Obtains feedback to ensure client needs are being met.
  1. Forms strong client relationships

Developing Others

Agree Unsure Disagree N/A
  1. Assesses employees' developmental needs.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Sets performance objectives for subordinates that encourages development opportunities.

Fiscal Management

Agree Unsure Disagree N/A
  1. Monitors expenses and verifies the need for items purchased.
  1. Develops of the department's annual budget.
  1. Monitors spending.
  1. Provides budgeting and accounting support to the Company.
  1. Develops budgets and plans for various programs and initiatives.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.