Adaptability - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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
Flexible and open to new ideas and encourages others to value change.
Is flexible and open minded in dealing with others.
Works effectively in dynamic and changing work environments.
Recognizes and implements changes to enhance efficiency and effectiveness.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements changes as a result of having listened to employees
Works effectively during periods of change.
Open to the perspectives/viewpoints of others.
Can handle changes without complaining.
Able to adapt to new situations.
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.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Seeks out different viewpoints and benefits from different perspectives.
Shows respect in daily interactions
Recognizes and values individual and cultural differences.
Treats others with dignity and respect.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works well in this position.
Shown significant improvement in job performance.
Sets a high standard for job performance.
Able to organize work.
Listens and responds to issues and problems
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies and assesses all potential responses to a problem.
Works cooperatively with others to solve problems.
Solves problems using logic and insight.
Able to balance the needs of different people in a solution to a problem.
Is a good problem solver and decision maker
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.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Client Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains strong relationships with clients.
Obtains feedback to ensure client needs are being met.
Is pro-active in dealing with clients and addressing their needs.
Ensures client commitments and requirements are met or exceeded
Looks for opportunities that have a positive impact on Clients.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Deals effectively with employee grievances.
Discusses conflict situations with supervisor.
Identifies and takes steps to prevent potential confrontations.
Tries to understand others' point of view before making judgments
Clearly expresses expectations to others.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Leverages relationships with others to achieve goals.
Able to say "no" when it is essential to maintaining quality and high standards.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Is able to decline bad ideas to avoid making poor decisions.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates goals and objectives to employees.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Understands their role within the organization.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.

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: