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

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.




Edit this Survey
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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 adjusts tactics when things are not working as expected.
  1. You are able to adjust to the new vision and mission of the company.
  1. You will stop what you are doing to help colleagues in need.
  1. You adjust priorities to changing business goals.
  1. You adjust strategy when new information is presented.
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 analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
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. You determine appropriate staffing levels for the job.
  1. I schedule follow up meetings if employee's performance is below average.
  1. You set the objectives to be completed for the shift.
  1. You resolve personnel problems quickly and effectively.
  1. I facilitate conversations where each person can be heard.
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 define goals and objectives for subordinates.
  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.
  1. You entrust subordinates with important tasks.
  1. You define the roles, responsibilities, required actions, and deadlines for team members.
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. I implement quality control feedback loops to enhance services and products.
  1. I competently and accurately analyze quality measures.
  1. I lead the department in quality improvement initiatives.
  1. I identify appropriate sources of quality standards.
  1. I create quality improvement programs and processes.
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 point out behaviors in others that may be unsafe.
  1. You identify and addresses safety needs.
  1. You commit adequate resources toward safety measures.
  1. You develop safety guidelines for the department.
  1. You perform work safely.
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. I anticipate the resources needed to meet the customer needs.
  1. I provide a responsive service that meets the needs of customers.
  1. I identify opportunities that enhance the customer's experience.
  1. You are aware of what the customer wants to receive.
  1. You thoroughly understand the needs of 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
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You provide ongoing feedback to co-workers on your development progress
  1. You work to identify root causes of performance problems
  1. You set and clearly communicate 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
  1. You conduct regular performance appraisals and feedback.
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.
  1. You develop the skills and capabilities of others.
  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
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I observe employees at work to get better insight into the issues they are dealing with.
  1. You identify root causes of problems.
  1. You create strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
  1. You have conversations with customers and clients to get a better insight into their personal needs.
  1. You understand the Company's strengths and weaknesses and uses this information to create optimal 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 are aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. You are able to explain departmental policies and procedures to others.
  1. You are able to use corporate politics to advance department objectives.
  1. You anticipate problems that may affect the department.
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.