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
Is aware of changes to team personnel.
Is open to new ideas and innovations.
Responds quickly to new information.
Adjusts plans to meet the needs of new constraints.
Able to respond to incidents without stopping the workflow.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts to circumstances as needed.
Identifies new opportunities to achieve goals
Is open to alternative ways to accomplish goals
Encourages others to adopt new procedures.
Open to the perspectives/viewpoints of others.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Identifies ways to simplify work processes and reduce cycle times
Completes a large volume of work.
Completes work on time
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes individual and cultural differences.
Is aware of cultural differences in business etiquette.
Aware of their own cultural views.
Willing to work with employees who have different cultural backgrounds.
Develops skills and attitudes to bridge cultural differences.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively organizes resources and plans
...Overall Performance
Listens and responds to issues and problems
Sets a high standard for job performance.
Effective in performing his/her job.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ability to solve problems at root cause rather than at symptom level.
Finds creative ways to get things done with limited resources.
Identifies and assesses all potential responses to a problem.
Is a good problem solver and decision maker
Actively seeks the root cause of a problem.
Excellence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is planful and organized.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Client Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates innovative solutions for the clients.
Understands the needs of the client.
Adapts to changes proposed by the client.
Responds to the needs of the client.
Focuses on the unique needs of each client.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Tries to understand others' point of view before making judgments
Clearly expresses expectations to others.
Deals effectively with employee grievances.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts necessary preparations before engaging in negotiations.
Influences others through rational argument and persuasion.
Understands the expectations of other parties in the negotiation.
Leverages relationships with others to achieve goals.
Changes communication styles to meet the listener's needs.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies strengths that competitors would have trouble imitating.
Creates measures of performance and profitability to assess financial objectives.
Focuses efforts on specific marketing strategies.
Determines the best strategy for achieving elevated levels of performance.
Identifies ways in which the company is better able to meet the customers' needs than rivals.

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: