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 able to adapt to changes in technology and processes.
  1. You are open to new ideas and innovations.
  1. You are able to adjusts tactics when things are not working as expected.
  1. You adjust priorities to changing business goals.
  1. You can adjust tactics and strategies.
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 do not allow own emotions to interfere with the performance of others.
  1. You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You step away from a situation to process appropriate response.
  1. You are 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
  1. I lead others through my commitment to the department.
  1. I am successful in resolving personnel conflicts.
  1. I value the opinions of subordinates.
  1. I have a high degree of multi-cultural competence to supervise individuals of various cultural backgrounds.
  1. I coach and mentor others to achieve higher performance levels.
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 allow subordinates to use their own methods and procedures.
  1. You assign tasks to create learning opportunities for the employees.
  1. You define the roles, responsibilities, required actions, and deadlines for team members.
  1. You encourage and empower subordinates to use initiative in achieving goals and objectives.
  1. You set clear and reasonable expectations for others and follow 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
  1. You encourage others to produce the highest quality work products.
  1. You hold employees accountable for your quality of work.
  1. You analyze what occurred and re-adjusts accordingly when goals are not met.
  1. You correct issues in a timely manner.
  1. You encourage employees to produce the best quality products.
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 support our company's safety programs.
  1. You commit adequate resources toward safety measures.
  1. You mitigate hazards and safety issues that arise.
  1. You create accurate and effective measures of safety.
  1. You work to implement corrective safety measures.
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
  1. You anticipate problems that the customer may encounter.
  1. You develop good rapport and trust with the customer.
  1. I fulfill commitments made to customers.
  1. You treat customers with courtesy and respect.
  1. You develop strong customer relationships.
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 take immediate action on poor performance
  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 work to identify root causes of performance problems
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
  1. You develop the skills and capabilities of others.
  1. You meet regularly with employees to coach them on areas that will enhance your performance
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.
  1. You help employees to maintain high personal standards.
  1. You provide 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
  1. You communicate vision for the department and company.
  1. You maintain knowledge of current trends in the industry.
  1. You formulate strategies and action plans to ensure successful completion of goals and objectives.
  1. You implement long-term solutions to problems.
  1. You create strategies that significantly benefit the Company.
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 adept at navigating within the culture of the department.
  1. You are able to explain departmental policies and procedures to others.
  1. You anticipate problems that may affect the department.
  1. You are able to use corporate politics to advance department objectives.
  1. You are able to deal with sensitive issues with tact and professionalism.
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.