hr-survey.com

Adaptability - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Adaptability:
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 for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going 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.

Competencies Included:
Adaptability, Action, Self Management, Continual Learning, Leadership, Managing Performance, Juggling Multiple Responsibilities, Trustworthy, Developing Others, Teamwork
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You adjust priorities to changing business goals.
  1. You are flexible and adaptable when confronted with unexpected changes.
  1. You are willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. You are able to adapt to changes in technology and processes.
  1. You adjust plans or schedules to deal with changing situations.
  1. You work effectively in dynamic and changing work environments.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You work quickly when faced with difficult problems.
  1. You display high energy and enthusiasm on consistent basis.
  1. You get the job done.
  1. You drive and mobilizes others progress toward goals.
  1. You motivate & supports others to gain skills
  1. You make effective decisions, even when under pressure.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Self Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You use patience and self-control in working with customers and associates.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
If you were to make improvements in Self Management, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You take charge of your training and skills enhancement.
  1. You participate in regular training offered.
  1. You set relevant learning objectives and goals.
  1. You take the initiative to learn new skills.
  1. You improve on your skill sets.
  1. You expand your educational and future learning opportunities.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You recognize and reward employees for your accomplishments.
  1. You coach others and prepares them for current and future business demands.
  1. You encourage dialogue to clarify decision making and inform staff
  1. You motivate others to reach and exceed organizational goals and objectives.
  1. You sit down regularly with employees to review your job performance.
  1. You are a leader within the department.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You use timely and appropriate corrective/disciplinary actions.
  1. You measure performance of goals and objectives.
  1. You prioritize the work of others.
  1. You obtain commitment from employees regarding completion of tasks.
  1. You ensure employees understand how work is to be completed.
  1. You adjust performance goals as needed to meet the demands of the department/organization.
If you were to make improvements in Managing Performance, what are your suggestions for how you can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You can multitask while performing all of your other responsibilities and activities.
  1. You coordinate the work of a team by assigning tasks to other team members.
  1. You are aware of the schedule and the importance of being on-time.
  1. You effectively handle scheduling conflicts.
  1. You complete multiple tasks simultaneously.
  1. You switch attention to more urgent tasks when necessary.
If you were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how you can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You deliver on promises made.
  1. You work in a way that makes others want to work with you.
  1. You communicate an understanding of the other person's interests, needs and concerns.
  1. You take ownership, deliver on commitments
  1. You demonstrate congruence between statements and actions.
  1. You are a person others can count on.
If you were to make improvements in Trustworthy, what are your suggestions for how you can improve this?

Developing Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are open to receiving feedback.
  1. You assess employees' developmental needs.
  1. You create a work environment that fosters positive feedback to employees.
  1. You recognize and celebrates accomplishments of others.
  1. You assign tasks and responsibilities to develop skills of others.
  1. You set performance objectives for subordinates that encourages development opportunities.
If you were to make improvements in Developing Others, what are your suggestions for how you can improve this?

Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You communicate well with team members.
  1. You foster teamwork rather than individual competition
  1. You are an effective team player
  1. You coach team members
  1. You share credit for accomplishments with team members
  1. You willingly share your technical expertise
If you were to make improvements in Teamwork, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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