Adaptability - 360 Degree Feedback Survey Sample #8

Instructions

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Adaptability	Agree	Unsure	Disagree	N/A
Adapts to new environments.
Able to adapt to changes in technology and processes.
Able to work effectively with new people and new teams.
Adjusts tactics when things are not working as expected.
Is open to new ideas and innovations.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Able to remain calm in tense situations.
Provides constructive, ongoing feedback.
Uses the team to its fullest capacity.
Facilitates conversations where each person can be heard.
Encourages good working relationships between employees.
Delegation	Agree	Unsure	Disagree	N/A
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Assigns tasks to create learning opportunities for the employees.
Entrusts subordinates with important tasks.
Quality	Agree	Unsure	Disagree	N/A
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Always strives to produce the highest quality work products.
Holds employees accountable for their quality of work.
Encourages others to achieve high quality standards.
Change Management	Agree	Unsure	Disagree	N/A
Effective in dealing with ambiguous and challenging situations.
Is an inspiration for others to accept the recent changes.
Develops a strategy for implementing changes.
Able to get department employees to accept new changes.
Develops plans for following through on the changes.
Managing Risk	Agree	Unsure	Disagree	N/A
Seeks to increase safety in the workplace.
Seeks to maintain the long-term viability of the Company.
Offers training to reduce safety incidents in the workplace.
Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
Is aware of the financial implications of certain risks.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Interacts with auditors and regulators on a professional basis.
Creates documents and reports as needed to maintain compliance with regulations.
Knows who to contact at various regulatory agencies if needed.
Is professional and courteous in interactions with auditors and regulators.
Is aware of federal and local laws affecting employees.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Gets things done through the department.
Understands the current organizational culture.
Understands departmental policies and procedures.
Effective in communicating with others within the organization.
Adept at navigating within the culture of the department.

41. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.