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
Able to quickly learn new ways of performing their job.
Responds quickly to new information.
Learns from personal experiences and/or mistakes.
Able to adjust to changing environments.
Is flexible and open minded in dealing with others.
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.
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Shares past experiences with others as learning opportunities.
Asks others for their ideas and opinions.
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
Ranks tasks based on importance to maximize available time.
Implements automation wherever possible.
Effectively delegates tasks to maximize the use of time.
Takes the initiative to tackle critical issues earlier rather than later.
Avoids delays by working quickly.
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 a sense of responsibility and commitment to public trust.
Demonstrates congruence between statements and actions.
Works in a way that makes others want to work with her/him.
Consistently keeps commitments.
Takes care to maintain confidential information.
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 to identify bottle necks in the production process.
Takes the time to actively listen to other team member's perspectives.
Communicates a clear message that teamwork and collaboration are expected.
Builds a strong rapport with team members.
Is open to new ideas that may change own goals for benefit of 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
Understands how to grow the business and increase customers.
Undertakes a SWOT analysis to determine the best strategy to move forward.
Detects changes in the environment and updates the strategic plan to address new opportunities or threats.
Identifies the role of each department in meeting the strategic goals.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
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.