Adaptability - 360 Degree Feedback Survey Sample #2





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

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.

Competencies Included:
Adaptability, Punctuality, Attitude, Decision Making, Commitment To Result, Technical, Customer Focus, Partnering/Networking, Others, Vision
Sample Result Document:
Sample Results
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 . The survey will only be available during these dates.


Adaptability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is open to change and adjusts plans when needed.
  1. Accommodates changes as needed.
  1. Works effectively with various personalities of team members.
  1. Adjusts tactics when things are not working as expected.
  1. Able to quickly learn new ways of performing their job.
What are your suggestions for how [Participant Name] can make improvements
in Adaptability?

Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Invoices clients on a timely basis.
  1. Starts the workday when scheduled.
  1. Avoids making personal phone calls during working hours.
  1. Maintains an efficient schedule of activities.
  1. Arrives to meetings on time.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Treats all people fairly and with respect.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Contributes to a positive work environment.
  1. Contributes to a positive and fun work environment.
  1. Is gracious and professional in their interactions with others.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Gathers information before making a decision.
  1. Views the issues from multiple perspectives before making a decision.
  1. Willing to consider information from other sources.
  1. Makes decisions independently (without having to be told what or how).
  1. Maintains focus on the "big picture" when making decisions.
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Commitment To Result

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Maintains persistence and dedication to achieving results.
  1. Encourages commitment in others to obtain results.
  1. Takes immediate action toward goals.
  1. Committed to the team.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
What are your suggestions for how [Participant Name] can make improvements
in Commitment To Result?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willingly shares information and expertise; sought out as resource by others
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. 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.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Seeks information from others as needed.
What are your suggestions for how [Participant Name] can make improvements
in Technical?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Ensures customers' expectations are met or exceeded.
  1. Provides a high level of service to customers.
  1. Anticipates customer needs.
  1. Interacts with customers to define roles, expectations, and responsibilities.
  1. Accepts responsibility for ensuring customer satisfaction.
What are your suggestions for how [Participant Name] can make improvements
in Customer Focus?

Partnering/Networking

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Defines a partnering strategy for identifying and selecting a partner.
  1. Develops partnerships with senior leaders in the company.
  1. Supports communication and collaboration with other leaders in the industry.
  1. Builds alliances with others in the company.
  1. Is an active member of professional associations or professional groups to stay connected with peers.
What are your suggestions for how [Participant Name] can make improvements
in Partnering/Networking?

Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Is able to see issues from others' perspectives.
  1. Treats others with respect and dignity.
  1. Works effectively with people from other departments.
  1. Works across boundaries within the organization.
What are your suggestions for how [Participant Name] can make improvements
in Others?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates consistency between words and actions
  1. Ensures that work is systematically aligned and coordinated with the organization's vision.
  1. Inspires and motivates employees through an influential vision.
  1. Charts a bold course for the department's evolution.
  1. Creates an ambitious and aspirational vision for the company.
What are your suggestions for how [Participant Name] can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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