Adaptability - 360 Degree Feedback Survey Sample #3

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)

Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Adaptability, Self Management, Supervisory Skills, Delegation, Quality, Safety, Customer Focus, Co-worker Development, Coaching, Strategic Insight, Organizational Fluency

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make a great company.

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

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Adaptability	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Recognizes and implements changes to enhance efficiency and effectiveness.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Works effectively in dynamic and changing work environments.
Develops insights and applies innovative solutions to projects and problems.
Flexible and open to new ideas and encourages others to value change.
Please feel free to provide any comments to help explain your answers?

Self Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Does not allow own emotions to interfere with the performance of others.
Steps away from a situation to process appropriate response.
Uses patience and self-control in working with customers and associates.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Maintains good working relationships with employees.
Delegates effectively.
Provides constructive, ongoing feedback.
Resolves personnel problems quickly and effectively.
Promotes teamwork and cooperation within the department.
Please feel free to provide any comments to help explain your answers?

Delegation	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Allows subordinates to use their own methods and procedures.
Tells subordinates what to do, not how to do it.
Sets clear and reasonable expectations for others and follows through on their progress.
Please feel free to provide any comments to help explain your answers?

Quality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Analyze what occurred and re-adjusts accordingly when goals are not met.
Holds employees accountable for their quality of work.
Encourages employees to produce the best quality products.
Encourages others to produce the highest quality work products.
Corrects issues in a timely manner.
Please feel free to provide any comments to help explain your answers?

Safety	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Participates in safety training when available.
Supports our company's safety programs.
Commits adequate resources toward safety measures.
Develops a strong safety culture.
Committed to safety in the workplace.
Please feel free to provide any comments to help explain your answers?

Customer Focus	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Develops strong customer relationships.
Ensures all customer commitments and requirements are met or exceeded.
Consistently models positive customer service attitudes.
Does not hesitate to address customer concerns or complaints.
Develops good rapport and trust with the customer.
Please feel free to provide any comments to help explain your answers?

Co-worker Development	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Please feel free to provide any comments to help explain your answers?

Coaching	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Addresses employee behavior problems effectively.
Helps employees to maintain high personal standards.
Conducts regular performance appraisals and feedback.
Helps employees to understand responsibilities, authority, and expectations.
Provides clear, motivating, and constructive feedback.
Please feel free to provide any comments to help explain your answers?

Strategic Insight	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Formulates policies and strategies for addressing the Company's important challenges.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Analyzes records and reports to obtain insight into potential issues and trends.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Maintains knowledge of current trends in the industry.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Effective in communicating with others within the organization.
Able to deal with sensitive issues with tact and professionalism.
Gets things done through the department.
Understands the current organizational culture.
Please feel free to provide any comments to help explain your answers?