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
Able to work on various customer accounts which have different needs/goals.
Integrates information from a variety of sources to develop new and creative solutions.
Willing to change priorities as needed to reach consensus.
Is flexible and open minded in dealing with others.
Adapts procedures to meet production goals.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exhibits exceptional adaptability in responding to unexpected challenges.
Is able to recover from setbacks.
Willing to try new approaches to solving problems if the current solution isn't working.
Demonstrates flexibility in thoughts and actions.
Adapts processes and procedures in response to changes in the work environment.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes initiative and starts working towards solutions immediately.
Delegates tasks and duties that need to be performed for completion of a project.
Identifies ways to simplify work processes and reduce cycle times
Limits interruptions and stays focused on the tasks at hand.
Establishes clear and actionable goals to guide the team's efforts and ensure progress.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Hires individuals with different cultural backgrounds for the department.
Promotes culturally respectful partnerships with external stakeholders and global teams.
Helps other employees to become more culturally sensitive.
Views diversity as a strength, not as an issue.
Participates in or facilitates cultural sensitivity training for self and team.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in performing his/her job.
Works effectively in the department.
...Produce Quality
Listens and responds to issues and problems
...Overall Performance
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes which problems to address issues based on their potential impact on the business.
Able to meet the needs of different constituents in the solution of a problem.
Implements actions as planned to address the problems.
Works diligently until the problem is solved.
Routinely checks and maintains equipment, systems, or processes to catch any signs of wear or inefficiency before they turn into bigger issues.
Excellence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Client Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts with integrity in all client interactions.
Responds to feedback from clients.
Responds to the needs of the client.
Delivers high quality products to the client.
Is committed to the success of the client.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clarifies ambiguous situations by asking questions tailored to help others articulate their concerns more precisely.
Examines differences and disagreements for creative and strategic resolutions.
Encourages both sides to make compromises to resolve the conflict.
Distinguishes between surface-level disagreements and deeper systemic issues, ensuring interventions target the right level.
Helps team members reframe conflict as an indicator for needed change, rather than a disruption to be avoided.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fully grasps both party's interests and options.
Is resolute in positions to build trust and predictability.
Is successful in making a compelling and influential first offer.
Adapts strategies to better meet the needs of the moment.
Clearly articulates points and actively listens to the others to ensure that both sides understand each other's needs and concerns.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops high-level strategic planning models to identify opportunities to improve the company.
Communicates goals and objectives to employees.
Creates values statement to ensure all employees are working under the same guiding principles.
Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
Able to decline a poor strategy by proposing alternate strategies.

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: