Integrity - 360 Degree Feedback Survey Sample #11

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.

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

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

Integrity

What does Integrity mean?
It means that ...

• You establish relationships of trust, honesty, fairness, and integrity.
• You foster an environment built upon trust.
• You do what was promised.
• You foster a high standard of ethics and integrity.
• You demonstrate sincerity in actions with others.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Attitude

What does Attitude mean?
It means that ...

• You contribute to a positive work environment.
• You show by your actions that you trust in the positive intentions of others.
• You build open and trusting relationships.
• You treat all people fairly and with respect.
• You visibly support and encourages diversity in style and background.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

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 maintain self-control when personally criticized.
• You help guide employees with prioritizing tasks.
• You set appropriate goals for employees.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Conflict Management

What does Conflict Management mean?
It means that ...

• You discuss conflict situations with supervisor.
• You deal effectively with employee grievances.
• You clearly express expectations to others.
• You try to understand others' point of view before making judgments
• You assist team members by helping them see the other point of view.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Vision

What does Vision mean?
It means that ...

• You lead employees in new directions.
• You work to support the strategy of [Company]
• You behave in a way that is consistent with business values & code of conduct
• You communicate a vision of where the Company needs to be in the future.
• You develop action plans to align your work with the goals of the organization

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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