Adaptability - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

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Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Easily accepts new responsibilities.
Able to adapt to changes in technology and processes.
Adjusts plans as needed based on changing conditions.
Is aware of changes to team personnel.
Adjusts plans to meet new situations.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Consciously controls own negative emotions in order to keep team morale up.
Does not allow own emotions to interfere with the performance of others.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Uses patience and self-control in working with customers and associates.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Constantly enhances product knowledge through experimentation and play.
Will participate in training classes even if offered outside of normal working hours.
Embraces new technology and procedures.
Creates an environment that supports personal development and exploration.
Holds self and associates accountable for goal achievement.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attempts to persuade others rather than simply control them.
Persuades others to consider alternative points of view.
Able to express own goals and needs.
Understanding what others need.
Ensures stakeholders are involved in the decision making process.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allocates resources as needed to accomplish organizational goals.
Works at a quick pace to complete a high volume of work.
Reduced department expenses by 25 percent.
Completed required training and certification.
Strives to exceed standards of performance.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Monitors the effectiveness of risk management strategies.
Aware of appropriate actions to minimize risks.
Minimizes the increase in costs due to global events or supply chain issues.
Responds appropriately to unexplained or unanticipated events.
Develops policies for risk management.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Honesty and integrity are core tenets of interpersonal relationships.
Demonstrates willingness to work with others.
Pays close attention to what is being communicated verbally and nonverbally.
Demonstrates good communication with colleagues and customers.
Is open and approachable
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes client's needs a top priority.
Identifies opportunities that will enhance the client's experience.
Engages with clients on multiple levels.
Has excellent communication with clients.
Uses feedback from clients to help improve services.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns tasks that are within the skill levels of employees.
Coordinates the knowledge, skills and resources of others to accomplish more in the department.
Gives employees the freedom to set their own schedule.
Ensures employees understand what is being assigned to them.
Allows for flexibility in the working hours.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assesses the risks of various strategic plans.
Develops strategic plans for the company/organization.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Schedules staff based on seasonal needs.
Notifies staff when the plan is not on schedule.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
53. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
54. Additional comments, if any for [Participant Name Here]'s assessment.