Integrity - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

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.

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.

Integrity

• Maintains strong relationships with others.
• Protects the integrity and confidentiality of information
• Demonstrates honesty and truthfulness at all times.
• Follows tasks to completion.
• Does what was promised.

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

Adaptability

• Adjusts priorities to the new Corporate mission.
• Effective in working with different personnel of the team.
• Adjusts plans to meet new situations.
• Able to respond to incidents without stopping the workflow.
• Able to adjust to changes as needed.

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

Achievement

• Strives to meet goals and objectives.
• Eliminates bureaucratic barriers to streamline processes.
• Is determined to complete tasks regardless of obstacles that may occur.
• Takes calculated risks to achieve difficult goals.
• Demonstrates improvement in performance.

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

Customer Focus

• Does not hesitate to address customer concerns or complaints.
• Maintains up-to-date information regarding customer products.
• Makes sure customer needs are understood by the team members.
• Anticipates potential obstacles to meeting customer needs.
• Ensures commitments made to customers are completed to the customer's satisfaction.

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

Partnering/Networking

• Creates value within the Company by building networks.
• Promotes the understanding of how the department affects the organization overall.
• Develops a sense of trust in subordinates so they can freely interact and share information with others.
• Forges mutually beneficial relationships between individuals with diverse backgrounds.
• Seeks to reduce institutional roadblocks to information sharing.

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.