Adaptability - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Adaptability	Definite Strength	Meets Standards	Needs Development	N/A
Adjusts plans to meet new situations.
Works effectively with various personalities of team members.
Is flexible when dealing with changes.
Is flexible and open minded in dealing with others.
Able to respond to incidents without stopping the workflow.
Self Management	Definite Strength	Meets Standards	Needs Development	N/A
Analyzes interpersonal problems instead of reacting to them.
Does not allow own emotions to interfere with the performance of others.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Steps away from a situation to process appropriate response.
Uses patience and self-control in working with customers and associates.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Creates several measures of success for each goal.
Informs the employee of the required sales/production targets.
Monitors progress to ensure performance goals are being met.
Is consistent in disciplinary/corrective actions.
Assesses employee performance against defined standards.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that I have a clear idea of our group's goals.
Achieves goals.
Understands & contributes to development of strategic goals.
Sets high expectations and goals; encourages others to support the organization.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Applies complex rules and regulations to maintain optimal system performance.
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Maximizes the use of new technology to deliver products and services.
Uses technology in decision making and problem solving.
Objectives	Definite Strength	Meets Standards	Needs Development	N/A
Assures [Company] principles are understood, employed & pursued.
Effectively organizes resources and plans
Organizes and schedules events, activities, and resources.
Works toward achieving established goals and objectives.
Sets long-term and short-term goals.
Coaching	Definite Strength	Meets Standards	Needs Development	N/A
Helps employees to understand responsibilities, authority, and expectations.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to maintain high personal standards.
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
Recognizes the needs of customers.
Works with others to develop insights into the resources and actions required to produce desired results.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Inspires employees to adopt the strategic plan.
Communicates with employees to find out their needs.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Gets things done through the department.
Anticipates problems that may affect the department.
Effective in communicating with others within the organization.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to deal with sensitive issues with tact and professionalism.

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

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

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.