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 are able to step in and help co-workers when needed.
  1. You are able to adjust to new plans and procedures.
  1. You can adjust plans and procedures.
  1. You are flexible and open minded in dealing with others.
  1. You are flexible and open to new ideas and encourages others to value change.
  1. You respond quickly to new information.
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 do whatever it takes (within reason) to get the job done.
  1. You display high energy and enthusiasm on consistent basis.
  1. You get the job done.
  1. You make effective decisions, even when under pressure.
  1. You work quickly when faced with difficult problems.
  1. You drive and mobilizes others progress toward goals.
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 are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You use patience and self-control in working with customers and associates.
  1. You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. You do not allow own emotions to interfere with the performance of others.
  1. You consciously control own negative emotions in order to keep team morale up.
  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. I view setbacks as opportunities to learn from.
  1. You take the initiative to learn new skills.
  1. You grasp new ideas, concepts, technical, or business knowledge.
  1. You are open to new ideas and concepts.
  1. You expand your educational and future learning opportunities.
  1. You participate in regular training offered.
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 foster an environment that values initiative and creativity.
  1. You influence the decisions made at the Company.
  1. You lead team to set goals, solve problems, and accomplish tasks.
  1. You provide resources to enable individuals to develop professionally.
  1. You act decisively in implementing decisions.
  1. You find creative ways to reward employees for hard work.
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 continuously measures performance and provides feedback to employees regularly.
  1. You measure job performance of subordinates against defined goals and objectives.
  1. You ensure employees understand their performance expectations.
  1. You establish indicators to measure levels of performance.
  1. You set and maintain high standards for self and others.
  1. You make sure commitments are understood and met.
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 bounce back from daily crisis, disappointments and frustrations.
  1. You ensure that assignments are prioritized according to the needs of the department/company.
  1. You effectively manage time to stay on schedule.
  1. You rank the importance of tasks to make sure critical tasks are completed first.
  1. You determine which tasks are critical and which tasks are optional.
  1. You create an effective balance of workload between different projects.
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 communicate an understanding of the other person's interests, needs and concerns.
  1. You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. You demonstrate congruence between statements and actions.
  1. You deliver on promises made.
  1. You demonstrate a sense of responsibility and commitment to public trust.
  1. You work in a way that makes others want to work with you.
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 recognize and celebrates accomplishments of others.
  1. You create a work environment that fosters positive feedback to employees.
  1. You support the successes of other employees.
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
  1. You assess employees' developmental needs.
  1. You assign tasks and responsibilities to develop skills of others.
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 create opportunities to learn with other team members
  1. You create a climate that encourages team participation.
  1. You contribute to and supports team decision-making process
  1. You recognize and respects the contributions and needs of each individual.
  1. You coach team members to work toward a common goal.
  1. You communicate well with team members.
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.