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

• Demonstrates honesty and truthfulness at all times.
• Demonstrates sincerity in actions with others.
• Establishes relationships of trust, honesty, fairness, and integrity.
• Does what was promised.
• Develops trust and confidence from others.

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

Adaptability

• Will stop what they are doing to help colleagues in need.
• Works effectively with various personalities of team members.
• Responds quickly to new information.
• Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
• Able to quickly learn new ways of performing their job.

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

Achievement

• Accepts setbacks and challenges as improvement opportunities
• Sets performance metrics to measure achievement or attainment of goals.
• Sets ambitious standards of performance.
• Demonstrates improvement in performance.
• Improved the quality of work on the production line.

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

Customer Focus

• Builds long term relationships with customers.
• Is pro-active in dealing with customers and addressing their needs.
• Helps customers to feel satisfied with our work/services.
• Understands the needs of the customer.
• Responds to the needs of 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

• Seeks to reduce institutional roadblocks to information sharing.
• Communicates with others in an open manner.
• Seeks opportunities to meet with others.
• Engages in collaborative problem-solving to address shared challenges.
• Develops internal alliances with others in the department.

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.