Integrity - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Integrity

• Demonstrates sincerity in actions with others.
• Does what was promised.
• Maintains strong relationships with others.
• Develops trust and confidence from others.
• Protects the integrity and confidentiality of information

If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Adaptability

• Adjusts plans as needed based on changing conditions.
• Able to step in and help co-workers when needed.
• Embraces change and fosters an open-minded environment.
• Flexible and open to new ideas and encourages others to recognize the value of change.
• Adjusts plans to meet new situations.

If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Achievement

• Highly motivated to achieve or exceed performance standards.
• Completed required training and certification.
• Sets challenging goals for the department.
• Holds others to high standards of achievement.
• Sets ambitious standards of performance.

If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Customer Focus

• Anticipates problems that the customer may encounter.
• Is aware of the customer's needs.
• Provides a high level of service to customers.
• Understands what resources are needed to meet customer needs.
• Adapts to changes proposed by the customer.

If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Partnering/Networking

• Optimizes processes by leveraging each function's strength.
• Collaborates with other companies to inject capital in exchange for equity, fostering growth and expansion for the partner organization.
• Willingly participates on committees and project teams.
• Establishes collaborative business relationships to unlock and enhance growth opportunities.
• Develops important industry contacts to facilitate business goals.

If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


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