Adaptability - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts to changes in team membership.
Is proactive and takes steps to prepare for changes in the workplace.
Is aware of changes in the environment.
Able to step in and help co-workers when needed.
Is aware of changes to the policies and procedures.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to adapt processes in response to critical incidents that impact the workflow.
Delivers a variety of products that vary in type and volume.
Actively listens to others, considers their viewpoints, and incorporates these insights into the decision-making process.
Encourages a culture of experimentation and innovation.
Able to increase output to meet increased demand.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Encourages risk taking and experimentation to improve performance
Motivates others to achieve or exceed goals
Conveys a sense of urgency about addressing problems and opportunities
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands what customs and etiquette are important for individuals from other cultures.
Is willing to include individuals with different cultural backgrounds on the team.
Seeks out different viewpoints and benefits from different perspectives.
Develops skills and attitudes to bridge cultural differences.
Open to learning about different cultures.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in performing his/her job.
...Overall Performance
Sets a high standard for job performance.
Effectively organizes resources and plans
Has great overall performance
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Implements effective solutions to critical problems.
Able to balance the needs of different people in a solution to a problem.
Understands the root causes of problems.
Ability to develop innovative solutions to problems.
Excellence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Client Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively troubleshoots client issues.
Competent in managing client projects.
Focuses on the unique needs of each client.
Identifies opportunities that will enhance the client's experience.
Tailors innovative products for each client.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to reduce the scarcity of limited resources by sourcing materials from new locations.
Facilitates collaborative processes to reduce conflict.
Discusses conflict situations with supervisor.
Addresses concerns about the availability of limited resources.
Prevents minor issues from escalating into major problems.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly explains the issues and interests at the start of negotiations.
Keeps the negotiations constructive and focused on problem-solving rather than conflict.
Justifies viewpoints using strong and credible data.
Is resolute in positions to better withstand pressure and resist making hasty concessions.
Assesses the validity and relevance of each piece of information, considering the context and source.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes sure that all departments/teams are contributing toward the success of the strategy.
Implements and executes the company's strategy for advancing production capabilities.
Able to decline a poor strategy by proposing alternate strategies.
Supports changes being recommended from senior management.
Develops a strategic vision for the future.

56. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
58. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
59. What changes do you see [Company] making in order to raise the standards?
    
    
    
60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
61. What do you like best about working for [Company]?
    
    
    
62. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: