Adaptability - 360 Degree Feedback Survey Sample #7

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 and .

Adaptability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to quickly learn new ways of performing their job.
Able to work effectively with new people and new teams.
Flexible and open to new ideas and encourages others to value change.
Learns from personal experiences and/or mistakes.
Develops insights and applies innovative solutions to projects and problems.
If 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
Seeks feedback to enhance performance.
Open to the suggestions of others.
Looks to others for input.
Shares past experiences with others as learning opportunities.
Is visible and approachable.
If 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
Deals effectively with interruptions.
Does not procrastinate.
Makes time for developing plans and schedules.
Prioritizes tasks to identify immediate and long-term objectives.
Focuses on tasks that have high priority.
If 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.
Demonstrates congruence between statements and actions.
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Works in a way that makes others want to work with her/him.
If 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
Facilitates team discussions and problem-solving
Fosters teamwork rather than individual competition
Encourages teamwork and collaboration.
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Builds consensus and shares relevant information.
If 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
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Communicates goals and objectives to employees.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Looks for opportunities to enhance contributions to the bottom line.
If 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 's assessment.