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
Learns from personal experiences and/or mistakes.
Is open to changes in policies and procedures.
Adjusts tactics when things are not working as expected.
Able to step in and help co-workers when needed.
Able to respond to incidents without stopping the workflow.
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.
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Accepts the views of others.
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
Does not become flustered by deadlines and timelines.
Avoids distractions in the workplace.
Leaves time in the schedule for unplanned contingencies.
Focuses on tasks that have high priority.
Sets a good balance between work and family life.
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
Communicates an understanding of the other person's interests, needs and concerns.
Delivers on promises made.
Takes care to maintain confidential information.
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
Applies knowledge of team behavior to help achieve organizational goals and objectives.
Creates a culture that fosters and values collaboration.
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Actively participates as a team member
Encourages collaboration with other departments.
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
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Able to decline a poor strategy by proposing alternate strategies.
Looks for opportunities to enhance contributions to the bottom line.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Understands their role within the organization.
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.