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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 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.
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Adaptability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is flexible and open minded in dealing with others.
  1. Is open to new ideas and innovations.
  1. Adjusts plans to meet new situations.
  1. Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. Continually trying to improve skills to remain current.
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. Avoids making personal phone calls during working hours.
  1. Conducts appointments at scheduled start time.
  1. Arrives to meetings on time.
  1. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
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. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Treats all people fairly and with respect.
  1. Shows by their actions that they trust in the positive intentions of others.
  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. Stays focused on the main objective when making decisions.
  1. Is aware of the impact of decisions and informs others about potential outcomes.
  1. Facilitates meetings with others to try to consider alternative courses of action.
  1. Formulates imaginative decisions.
  1. Is creative about the decisions they make.
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. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Committed to the team.
  1. Takes immediate action toward goals.
  1. Coordinates all department activities into a cohesive team 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 his/her technical expertise; sought out as resource by others
  1. Knows how to produce high quality products/work.
  1. Willingly shares information and 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. Demonstrates mastery of the technical competencies required in his/her work.
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. Helps others in responding to customer needs.
  1. Provides a responsive service that meets the needs of customers.
  1. Treats customers with courtesy and respect.
  1. Sets an example for excellent customer relations.
  1. Creates high quality products for the customers.
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. Seeks to increase exchanges of information with other companies/colleagues.
  1. Can easily explain the foundations (justification) for the partnership.
  1. Develops networks with other companies to reduce costs and improve services.
  1. Ensures that lessons learned from the partnership are disseminated and built upon.
  1. Synchronizes efforts, processes, and resources with partners to enhance strategic opportunities.
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. ...treats others with respect and dignity.
  1. Forms working relationships with employees from other departments.
  1. Consistently demonstrates ability and willingness to trust others.
  1. Able to see issues from others' perspectives.
  1. Helpful
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. Analyzes data and industry patterns to forecast opportunities and challenges.
  1. Develops a vision to inspire collective action.
  1. Develops a vision to empower employees to make more effective decisions.
  1. Develops a strategic vision informed by comprehensive analysis of the company's performance.
  1. Sets a schedule for achieving the organization's vision.
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.