Integrity - 360 Degree Feedback Survey Sample #12





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)
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

  • Develops trust and confidence from others.
  • Maintains strong relationships with others.
  • Fosters an environment built upon trust.
  • Fosters a high standard of ethics and integrity.
  • Protects the integrity and confidentiality of information
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Creativity

  • Creates a lot of new ideas.
  • Adds value to the department/organization.
  • Is creative and inspirational.
  • Conceives, implements and evaluates ideas.
  • Inspires creativity in their team.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Innovation

  • Takes risks to advance important ideas.
  • Offers constructive improvements to existing systems.
  • Builds upon the ideas and solutions of others.
  • Develops new products and services.
  • Creates improved methods or solutions for meeting goals and objectives.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Managing Risk

  • Creates a risk management strategy for the department.
  • Improves process safety where possible.
  • Creates a risk profile for projects and teams.
  • Is aware of the financial implications of certain risks.
  • Performs regular risk analyses to minimize adverse outcomes.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Teamwork

  • Helps the team bounce back from obstacles to progress.
  • Listens carefully to other team members.
  • Promotes open communication on the team.
  • Fosters respect and understanding among team members
  • Makes decisions that support the team's goals and objectives.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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