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)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

Sample Result Document:
Sample Results
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. Demonstrates honesty and truthfulness at all times.
  1. Fosters a high standard of ethics and integrity.
  1. Develops trust and confidence from others.
  1. Maintains strong relationships with others.

Continual Improvement

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

Supervisory Skills

Agree Unsure Disagree N/A
  1. Is aware of the unique strengths of each employee.
  1. Promotes teamwork and cooperation within the department.
  1. Delegates effectively.
  1. Resolves personnel problems quickly and effectively.
  1. Provides constructive, ongoing feedback.


Agree Unsure Disagree N/A
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Entrusts subordinates with important tasks.
  1. Allows subordinates to use their own methods and procedures.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.


Agree Unsure Disagree N/A
  1. Encourages others to achieve high quality standards.
  1. Reflects on what is working and what could be improved.
  1. Encourages others to produce the highest quality work products.
  1. Always strives to produce the highest quality work products.
  1. Holds employees accountable for their quality of work.

Change Management

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

Client Focus

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

Developing Others

Agree Unsure Disagree N/A
  1. Creates opportunities for professional development.
  1. Provides constructive feedback to others.
  1. Is open to receiving feedback.
  1. Assesses employees' developmental needs.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.

Fiscal Management

Agree Unsure Disagree N/A
  1. Develops budgets and plans for various programs and initiatives.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Provides budgeting and accounting support to the Company.
  1. Develops of the department's annual budget.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.

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

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.