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 sincerity in actions with others.
• Fosters a high standard of ethics and integrity.
• Follows tasks to completion.
• Establishes relationships of trust, honesty, fairness, and integrity.
• Maintains strong relationships with others.

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

Adaptability

• Works effectively in dynamic and changing work environments.
• Adjusts plans to meet new situations.
• Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
• Able to adapt to changes in technology and processes.
• Accommodates changes as needed.

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 training on the new equipment.
• Rapidly completes tasks and assignments.
• Met required benchmarks for the position.
• Sets challenging goals.

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

Customer Focus

• Anticipates and proactively resolves issues that the customer may face.
• Creates an environment that enables customers to receive excellent service.
• Ensures customers' expectations are met or exceeded.
• Is aware of the customer's needs.
• Adapts to changing customer needs.

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

Partnering/Networking

• Develops trust in others to form partnerships and networks.
• Maintains communication channels with colleagues in the industry.
• Engages in cross-functional activities by collaborating across boundaries.
• Develops important industry contacts to facilitate business goals.
• Facilitates open and honest communication to build trust and mutual respect.

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.