Integrity - 360 Degree Feedback Survey Sample #11

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.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Integrity mean?
It means that ...
  • You foster a high standard of ethics and integrity.
  • You foster an environment built upon trust.
  • You follow tasks to completion.
  • You demonstrate honesty and truthfulness at all times.
  • You do what was promised.

To what extent does this person exhibit Integrity?
Select from one of the ratings below.


What does Attitude mean?
It means that ...
  • You work to eliminate unnecessary work or barriers that get in others' way.
  • You visibly support and encourages diversity in style and background.
  • You show by your actions that you trust in the positive intentions of others.
  • You build open and trusting relationships.
  • You are gracious and professional in your interactions with others.

To what extent does this person exhibit Attitude?
Select from one of the ratings below.

Establishing Focus/Direction

What does Establishing Focus/Direction mean?
It means that ...
  • You are excellent at managing time.
  • You stay focused even when under pressure and stress.
  • You align the department's goals with the goals of the organization.
  • You function well under stress, deadlines, and/or significant workloads.
  • You maintain focus when handling several problems or tasks simultaneously.

To what extent does this person exhibit Establishing Focus/Direction?
Select from one of the ratings below.

Conflict Management

What does Conflict Management mean?
It means that ...
  • You assist team members by helping them see the other point of view.
  • You try to understand others' point of view before making judgments
  • You discuss conflict situations with supervisor.
  • You deal effectively with employee grievances.
  • You help employees to think through alternative ways to resolve conflict situations.

To what extent does this person exhibit Conflict Management?
Select from one of the ratings below.


What does Vision mean?
It means that ...
  • You behave in a way that is consistent with business values & code of conduct
  • You lead employees in new directions.
  • You communicate a vision of where the Company needs to be in the future.
  • You express the Company vision in a way that is easily understood and adopted by employees.
  • You create a common vision for others.

To what extent does this person exhibit Vision?
Select from one of the ratings below.

Areas for Development

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