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
Adjusts plans and procedures.
Is flexible and open minded in dealing with others.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Able to adapt to changes in technology and processes.
Able to adjust to changing environments.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Allows workflows to evolve with the employees' creativity.
Able to deal with uncertain and unpredictable events.
Is able to make accommodations needed for changes to the working conditions.
Adapts to different settings, tasks, and challenges with ease.
Fosters a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes a large volume of work.
Conveys a sense of urgency about addressing problems and opportunities
Seeks and utilizes opportunities for continuous learning and self-development.
Motivates others to achieve or exceed goals
Identifies ways to simplify work processes and reduce cycle times
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Engages with individuals that have different cultural backgrounds.
Fosters a diverse workforce free from discrimination and harassment.
Respects the views offered by individuals with different cultural backgrounds.
Is sensitive to the similarities and differences that exist between cultures.
Seeks out different viewpoints and benefits from different perspectives.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively in the department.
Shown significant improvement in job performance.
Works well in this position.
...Produce Quality
Effective in performing his/her job.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes the issue(s) that have gone wrong or are about to go wrong.
Determines the impact of recommended solutions.
Understands the root causes of problems.
Pinpoints the origins of the issue to tackle the root causes and solve the problem at its source.
Is a versatile problem-solver with a wide range of tools and techniques at their disposal to apply them appropriately to different situations.
Excellence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Is planful and organized.
Client Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps the client informed of all progress.
Delivers customized solutions for each client.
Anticipates resources needed to meet the client needs.
Identifies opportunities that will enhance the client's experience.
Treats clients with courtesy and respect.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Combines different ideas and viewpoints.
Prepares team members to accept differing view points.
Works with others as needed to facilitate resolution of conflicts.
Tries to understand others' point of view before making judgments
Identifies the root sources of conflict.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Knows the BATNA (Best Alternative to a Negotiated Agreement) and is prepared to walk away if core interests are not met.
Stays focused and avoids getting sidetracked by less important issues.
Combines the valid points from each source to form a comprehensive and balanced perspective.
Controls emotional responses to maintain a productive atmosphere.
Maintains a calm demeanor, even when discussions get heated.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Modifies strategic decisions depending on changes in the business environment.
Gives adequate consideration to the time and resources available.
Identifies ways in which the company is better able to meet the customers' needs than rivals.
Scans the environment for opportunities to exploit.
Develops strategies to seek new opportunities.

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: