Integrity - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

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)

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 comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.


Definite Strength Meets Standards Needs Development N/A
  1. Fosters an environment built upon trust.
  1. Demonstrates honesty and truthfulness at all times.
  1. Demonstrates sincerity in actions with others.
  1. Protects the integrity and confidentiality of information
  1. Establishes relationships of trust, honesty, fairness, and integrity.

Communication Skills

Definite Strength Meets Standards Needs Development N/A
  1. Checks for understanding throughout conversations or group presentations/discussions
  1. Conveys ideas confidently and succinctly.
  1. Gives clear and convincing presentations.
  1. Addresses issues of key importance to stakeholders.
  1. Deals with difficult situations calmly and confidently.


Definite Strength Meets Standards Needs Development N/A
  1. Encourages others to adopt new procedures.
  1. Open to the perspectives/viewpoints of others.
  1. Willing to try new ideas.
  1. Identifies new opportunities to achieve goals
  1. Able to adapt to new situations.

Bias for Action

Definite Strength Meets Standards Needs Development N/A
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Displays high energy and enthusiasm on consistent basis.
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Motivates others to achieve or exceed goals

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Is able to control their own emotions.
  1. Accurately perceives the emotional reactions of others.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Able to understand others' points of view.
  1. Is able to manage their own emotions.

Managing Performance

Definite Strength Meets Standards Needs Development N/A
  1. Reviews job performance shortly after completion of tasks.
  1. Is consistent in disciplinary/corrective actions.
  1. Ensures team members receive rewards for positive performance accomplishments.
  1. Addresses poor performance sooner rather than later.
  1. Sets long and short term goals.


Definite Strength Meets Standards Needs Development N/A
  1. Balances risks and costs with the rewards and probabilities of success when decisions.
  1. Uses appropriate techniques to solve problems.
  1. Analyzes issues and reduces them to their component parts.
  1. Identifies problems and issues needing resolution.
  1. Identifies opportunities for progress and innovation.


Definite Strength Meets Standards Needs Development N/A
  1. Goal Setting
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Establishes and documents goals and objectives.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Achieves goals.

Technology Use/Management

Definite Strength Meets Standards Needs Development N/A
  1. Maximizes the use of new technology to deliver products and services.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Uses technology in decision making and problem solving.
  1. Supports technical training and development of employees.


Definite Strength Meets Standards Needs Development N/A
  1. Sets long-term and short-term goals.
  1. Establishes goals and objectives.
  1. Works toward achieving established goals and objectives.
  1. Ability to establish realistic goals.
  1. Communicates goals and objectives to employees.


Definite Strength Meets Standards Needs Development N/A
  1. Identifies verbal and nonverbal cues to help interpret actions and messages.
  1. Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
  1. Maintains communication channels between parties in the negotiation.
  1. Leverages relationships with others to achieve goals.
  1. Understands the expectations of other parties in the negotiation.

Strategic Focus

Definite Strength Meets Standards Needs Development N/A
  1. Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
  1. Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
  1. Communicates goals and objectives to employees.
  1. Able to decline a poor strategy by proposing alternate strategies.
  1. Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.

Organizational Fluency

Definite Strength Meets Standards Needs Development N/A
  1. Able to use corporate politics to advance department objectives.
  1. Adept at navigating within the culture of the department.
  1. Effective in communicating with others within the organization.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.

  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.