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
Is flexible and open minded in dealing with others.
Handles unexpected events without a loss of productivity.
Adjusts priorities to changing business goals.
Able to adapt to changes in technology and processes.
Adjusts to new plans and procedures.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Uses disciplinary measures with the intent to guide and improve behavior, rather than to seek retribution.
Delegates assignments to employees according to seniority.
Asks employees for their ideas and opinions.
Decides the best approach for addressing issues that arise on the job.
Speaks to all employees involved to get a complete picture of the situation.
Delegation	Agree	Unsure	Disagree	N/A
Tells subordinates what to do, not how to do it.
Assigns tasks to create learning opportunities for the employees.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Allows employees to decide how they wish to complete the tasks.
Quality	Agree	Unsure	Disagree	N/A
Implements quality control feedback loops to enhance services and products.
Encourages others to produce the highest quality work products.
Adjusts processes or procedures to improve quality results.
Implements standardized and data driven quality processes/procedures.
Evaluates and improves the quality of services and products.
Change Management	Agree	Unsure	Disagree	N/A
Effective in dealing with ambiguous and challenging situations.
Assists others in understanding changes to the organization.
Is a leading force driving changes.
Develops plans for following through on the changes.
Inspires others to accept changes.
Managing Risk	Agree	Unsure	Disagree	N/A
Establishes good controls over the process to better manage risks.
Seeks to capitalize on risks.
Develops policies to address risk situations in the workplace.
Creates a level of resilience in the organization.
Works effectively to avoid risk.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Ensures regulations are followed as required.
Develops a confidential reporting system to enable employees to anonymously report safety violations.
Reviews operations and work flows to ensure compliance with standards.
Formulates compliance policies and procedures.
Is aware of federal and local laws affecting employees.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Able to deal with sensitive issues with tact and professionalism.
Able to explain departmental policies and procedures to others.
Understands the current organizational culture.
Effective in communicating with others within the organization.
Anticipates problems that may affect 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.