Adaptability - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is 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 '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.

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 .

Adaptability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Adapts to new environments.
Able to adjust to changes as needed.
Adjusts priorities to changing business goals.
Responsive to the needs of others.
Flexible and open to new ideas and encourages others to recognize the value of change.
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
Open to the suggestions of others.
Shares past experiences with others as learning opportunities.
Is easy to approach with ideas and opinions.
Asks others for their ideas and opinions.
Is visible and approachable.
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
Works at a quick pace to avoid getting behind in work.
Processes items in the inbox instead of letting them accumulate.
Optimizes time management through automation.
Prioritizes high value tasks at work.
Works quickly to keep on schedule.
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
Demonstrates congruence between statements and actions.
Is a person you can trust.
Is trustworthy; is someone I can trust.
Builds and maintains the trust of others.
Works in a way that makes others want to work with her/him.
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
Works with other team members on the project.
Coaches team members
Lets team members know when they have done well.
Builds a strong rapport with team members.
Establishes good rapport with team members.
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
Inspires employees to adopt the strategic plan.
Identifies and addresses strategic risks impacting operations.
Ensures the department has a viable strategy for moving forward.
Develops strategies to seek new opportunities.
Maintains a strategic focus to sustain competitiveness in changing business environments.
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.