hr-survey.com

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)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. 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
Sample Result Document:
Sample Results
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 this a great company.

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




Adaptability

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. You are able to work effectively with new people and new teams.
  1. You work effectively in dynamic and changing work environments.
  1. You are able to quickly learn new ways of performing your job.
  1. You are proactive and takes steps to prepare for changes in the workplace.
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
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. You do not allow own emotions to interfere with the performance of others.
  1. You step away from a situation to process appropriate response.
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
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Competency
Always
Exhibits this
Competency
  1. You appropriately recognize and reward employees.
  1. You treat all staff equitably.
  1. You provide constructive, ongoing feedback.
  1. You resolve personnel problems quickly and effectively.
  1. You promote 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
  1. You set clear and reasonable expectations for others and follows through on your progress.
  1. You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. You assign tasks to create learning opportunities for the employees.
  1. You clearly define duties and tasks to be completed.
  1. You allow employees to decide how they wish to complete the tasks.
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
  1. You encourage others to achieve high quality standards.
  1. You correct issues in a timely manner.
  1. You analyze what occurred and re-adjusts accordingly when goals are not met.
  1. You always strive to produce the highest quality work products.
  1. You reflect on what is working and what could be improved.
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
  1. You participate in safety training when offered.
  1. You perform work safely.
  1. You identify and addresses safety needs.
  1. You point out behaviors in others that may be unsafe.
  1. You encourage others to attend safety training.
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
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Competency
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Exhibits this
Competency
  1. You develop good rapport and trust with the customer.
  1. You ensure all customer commitments and requirements are met or exceeded.
  1. You ask questions and listen carefully to determine customer needs and to ensure that the customer's needs are met.
  1. You consider customers point of view when making decisions.
  1. You consistently model positive customer service attitudes.
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
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You set and clearly communicate expectations, performance goals, and measurements to others
  1. You provide ongoing feedback to co-workers on your development progress
  1. You take immediate action on poor performance
  1. You give others development opportunities through project assignments and increased job responsibilities
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
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Exhibits this
Competency
  1. You meet regularly with employees to coach them on areas that will enhance your performance
  1. You conduct regular performance appraisals and feedback.
  1. You help employees to understand responsibilities, authority, and expectations.
  1. You provide clear, motivating, and constructive feedback.
  1. You address employee behavior problems effectively.
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
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Competency
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Exhibits this
Competency
  1. You communicate vision for the department and company.
  1. You anticipate business cycles and trends and makes adjustments in a timely manner.
  1. You identify potential problems before they become critical incidents.
  1. You analyze records and reports to obtain insight into potential issues and trends.
  1. You implement long-term solutions to problems.
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
  1. You are able to deal with sensitive issues with tact and professionalism.
  1. You anticipate problems that may affect the department.
  1. You are able to explain departmental policies and procedures to others.
  1. You adept at navigating within the culture of the department.
  1. You are aware of other organizational cultures to compare/contrast with the current organizational culture.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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