Adaptability - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

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Adaptability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Adapts to diversity within the team.
Responds quickly to new information.
Works effectively with various personalities of team members.
Easily accepts new responsibilities.
Able to adjust to changes as needed.
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
Accepts the views of others.
Asks others for their ideas and opinions.
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Shares past experiences with others as learning opportunities.
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
Often arrives at work early to get the day started.
Avoids distractions in the workplace.
Stays on track by effectively using the project schedule.
Frequently arrives early to start the day.
Efficiently completes tasks.
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
Consistently keeps commitments.
Works in a way that makes others want to work with her/him.
Takes care to maintain confidential information.
Builds and maintains the trust of others.
Takes ownership, delivers on commitments
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
Willing to listen to the ideas of other team members.
Listens carefully to other team members.
Works with other team members to identify bottle necks in the production process.
Treats other team members with respect.
Fosters respect and understanding among 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
Undertakes a SWOT analysis to determine the best strategy to move forward.
Recognizes the need for strategically developing unique capabilities.
Makes sure employees understand the strategy and goals.
Understands how to grow the business and increase customers.
Strategically focuses efforts to improve operational efficiencies.
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.