hr-survey.com

Adaptability - 360 Degree Feedback Survey Sample #5


Questionnaires Measuring Adaptability:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



Adaptability

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Recognizes and implements changes to enhance efficiency and effectiveness.
  1. Flexible and open to new ideas and encourages others to value change.
  1. Is proactive and takes steps to prepare for changes in the workplace.
  1. Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
  1. Ability to recognize the potential benefits of change, and create an infrastructure which supports change.


Feedback

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Asks others for their ideas and opinions.
  1. Shares past experiences with others as learning opportunities.
  1. Open to the suggestions of others.
  1. Actively seeks feedback from others.
  1. Seeks feedback to enhance performance.


Time Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Deals effectively with interruptions.
  1. Avoids distractions in the workplace.
  1. Sets a good balance between work and family life.
  1. Focuses on tasks that have high priority.
  1. Does not become flustered by deadlines and timelines.


Trustworthy

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Takes care to maintain confidential information.
  1. Is trustworthy; is someone I can trust.
  1. Is a person you can trust.
  1. Builds and maintains the trust of others.
  1. Demonstrates congruence between statements and actions.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Act as an effective team player
  1. Encourages collaboration with other departments.
  1. Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
  1. Encourages teamwork and collaboration.
  1. Contributes to and supports team decision-making process


Strategic Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Able to decline a poor strategy by proposing alternate strategies.
  1. Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
  1. Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
  1. Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
  1. Looks for opportunities to enhance contributions to the bottom line.



  1. Overall, please rate the effectiveness of .






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for 's assessment.