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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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, 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.
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Adaptability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is good at managing the unexpected.
  1. Is flexible when dealing with changes.
  1. Develops new and innovative ideas and approaches for solving problems.
  1. Adjusts plans to meet the needs of new constraints.
  1. Learns new ways to perform tasks; adopts new skill sets as required.
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. Conducts appointments at scheduled start time.
  1. Starts meetings on time.
  1. Arrives to meetings on time.
  1. Responds to requests for information in a timely manner.
  1. Starts the workday when scheduled.
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. Always does their best effort on the job.
  1. Views feedback as a tool for improvement rather than a threat to ego.
  1. Shows empathy in their interactions with others.
  1. Offers constructive criticism.
  1. Volunteers to take responsibility for assignments that fall outside their immediate scope to help move the team forward.
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. Decides which long-term goals should be met.
  1. Clearly explains the reasoning behind decisions, including the costs incurred and benefits expected.
  1. Combines and makes sense of contradictory pieces of information.
  1. Makes decisions that support the department's goals and objectives.
  1. Stays focused on the main objective when making decisions.
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Commitment

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Acts with integrity and persistence to ensure the department's long-term success.
  1. Invests in long-term outcomes, not just short-term wins, showing patience and perseverance.
  1. Demonstrates personal accountability and dedication to organizational success.
  1. Assigns stretch tasks that build employee confidence in handling diverse customer needs.
  1. Fosters commitment among employees to leverage their talents for collective success of the department.
What are your suggestions for how [Participant Name] can make improvements
in Commitment?

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. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Is knowledgeable of procedures or systems necessary for the job.
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. Identifies the most pressing needs of each customer.
  1. Creates high quality products for the customers.
  1. Helps customers to feel satisfied with our work/services.
  1. Meets with customers on a regular basis.
  1. Keeps the customer informed of all progress.
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. Collaborates with other companies to inject capital in exchange for equity, fostering growth and expansion for the partner organization.
  1. Strengthens the contacts with other departments.
  1. Develops internal alliances with others in the department.
  1. Involves others in communications about any changing process.
  1. Uses networks of personal contacts to gain introductions to others who may have valuable information.
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. Able to see issues from others' perspectives.
  1. Respects the opinions of other employees.
  1. Constructively receives criticism and suggestions from others.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Consistently demonstrates ability and willingness to trust others.
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. Ensures that work is systematically aligned and coordinated with the organization's vision.
  1. Stays ahead of the curve and guides the team towards innovative solutions and strategic decisions.
  1. Able to shape norms, values, and employee behaviors into a culture that align with the organization's strategic vision and direction.
  1. Turns the department's vision into defined objectives and a strategic framework.
  1. Is a positive influence on employees, encouraging them to take the initiative and be proactive in their roles.
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.