Adaptability - 360 Degree Feedback Survey Sample #2

Instructions

You have been selected to provide feedback on the employee listed above. 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 working with this employee over the last twelve months and the goals they were asked to achieve. 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 discussed with the employee 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.

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

Adaptability	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Flexible and open to new ideas and encourages others to value change.
Able to quickly learn new ways of performing their job.
Able to work effectively with new people and new teams.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
What are your suggestions for how can make improvements in Adaptability?
Punctuality	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Avoids making personal phone calls during working hours.
Conducts appointments at scheduled start time.
Starts the workday when scheduled.
Maintains an efficient schedule of activities.
Invoices clients on a timely basis.
What are your suggestions for how can make improvements in Punctuality?
Attitude	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Shows by their actions that they trust in the positive intentions of others.
Works to eliminate unnecessary work or barriers that get in others' way.
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
Builds open and trusting relationships.
What are your suggestions for how can make improvements in Attitude?
Decision Making	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Exercises good judgment by making sound and informed decisions.
Is able to make decisions quickly.
Seeks input from key people who should be involved in, or will be affected by, decisions
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Asks for additional information when making critical decisions.
What are your suggestions for how can make improvements in Decision Making?
Commitment To Result	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Maintains persistence and dedication to achieving results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Coordinates all department activities into a cohesive team effort.
What are your suggestions for how can make improvements in Commitment To Result?
Technical	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares information and expertise; sought out as resource by others
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Seeks information from others as needed.
Is knowledgeable of procedures or systems necessary for the job.
What are your suggestions for how can make improvements in Technical?
Customer Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Develops good rapport and trust with the customer.
Does not hesitate to address customer concerns or complaints.
Ensures all customer commitments and requirements are met or exceeded.
Maintains positive customer relationships.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
What are your suggestions for how can make improvements in Customer Focus?
Partnering/Networking	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Creates value within the Company by building networks.
Partners with peers to obtain influence within the Company.
Seeks to reduce institutional roadblocks to information sharing.
Maintains infrastructure to support partnerships and networks.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
What are your suggestions for how can make improvements in Partnering/Networking?
Others	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Respects the opinions of other employees.
Is able to see issues from others' perspectives.
Works effectively with people from other departments.
Forms working relationships with employees from other departments.
...treats others with respect and dignity.
What are your suggestions for how can make improvements in Others?
Vision	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Leads employees in new directions.
Expresses the Company vision in a way that is easily understood and adopted by employees.
Demonstrates consistency between words and actions
Develops action plans to align his/her work with the goals of the organization
Communicates the vision and strategy of [Company]
What are your suggestions for how can make improvements in Vision?

51. Strengths
    
    
    
52. Areas for Development
    
    
    
53. Please give any final comments or suggestions for 's assessment.