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
Works effectively with various personalities of team members.
Adjusts priorities to the new Corporate mission.
Accommodates changes as needed.
Able to respond to incidents without stopping the workflow.
Effective in working with different personnel of the team.
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
Considers other's opinion and suggestions.
Is visible and approachable.
Open to the suggestions of others.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
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
Approaches work with a sense of urgency.
Takes the initiative to tackle critical issues earlier rather than later.
Keeps and maintains a To-Do list.
Regularly delivers results on-time.
Works on critical tasks as quickly as possible.
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 ownership, delivers on commitments
Is trustworthy; is someone I can trust.
Demonstrates congruence between statements and actions.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Demonstrates a sense of responsibility and commitment to public trust.
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
Promotes a team spirit within and outside department; partners with other groups.
Listens and is attentive to other team members.
Recognizes and respects the contributions and needs of each individual.
Coaches team members
Appreciates the input from other 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
Identifies and focuses resources on strategic growth opportunities.
Creates measures of performance and profitability to assess financial objectives.
Pursues strategic alliances with valued partners.
Implements and executes the company's strategy for advancing production capabilities.
Able to formulate strategy at the corporate level.
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.