Adaptability - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Adaptability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to persevere and adapt during periods of hardship.
Adapts to changes in team membership.
Able to adjust plans as needed for implementation of projects.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Able to step in and help co-workers when needed.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Engages in a proactive approach to feedback to fosters a culture of continuous learning and development.
Guides employees through a structured process of reflection and action planning.
Conducts regular feedback sessions, such as one-on-one meetings or performance reviews, to help maintain ongoing communication and ensure that employees stay on track with their development goals.
Translates observations into actionable next steps that enhance individual and team performance.
Allows the person providing feedback to complete their thoughts without interrupting them.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Avoids distractions in the workplace.
Initially focuses on high priority items.
Delegates simple tasks to employees so the manager can focus on more complex tasks.
Makes time for developing plans and schedules.
Uses time efficiently to achieve higher productivity.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes care to maintain confidential information.
Communicates an understanding of the other person's interests, needs and concerns.
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes ownership, delivers on commitments
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Fosters an environment that promotes active listening on the team.
Demonstrates an understanding of other team member's viewpoints.
Identifies and resolves conflicts within the team to increase team effectiveness
Shows respect for other team members.
Demonstrates a willingness to work with the team.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops strategies that are practical and can be feasibly implemented within a reasonable period of time.
Avoids complacency and strives to be ahead of changes in the business environment.
Strategically focuses efforts to improve operational efficiencies.
Makes strategic decisions to optimize the returns on capital investments.
Makes sure the objectives are clearly communicated and understood.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.