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 do what was promised.
• You maintain strong relationships with others.
• You develop trust and confidence from others.
• You accept responsibility for mistakes.
• You protect the integrity and confidentiality of information

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 build open and trusting relationships.
• You contribute to a positive and fun work environment.
• You work to eliminate unnecessary work or barriers that get in others' way.
• You visibly support and encourages diversity in style and background.
• 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.

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 stay focused even when under pressure and stress.
• You maintain self-control when personally criticized.
• You help guide employees with prioritizing tasks.
• You align the department's goals with the goals of the organization.
• You function well under stress, deadlines, and/or significant workloads.

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 ...

• I promote a culture that values diverse perspectives.
• I achieve mutually acceptable solutions through collaborative efforts by both parties.
• I encourage both sides to make compromises to resolve the conflict.
• I attempt to accommodate vital interests of those who felt alienated or suffered injustice.
• I promote employee engagement to reduce tensions and negativity, creating an environment where conflicts are easily managed.

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 facilitate employees' adoption of the organization vision.
• I recognize issues and formulate solutions.
• I effectively communicate the vision to employees.
• You analyze data and industry patterns to forecast opportunities and challenges.
• You create a workplace culture that reflects the organizational vision.

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.