Adaptability - 360 Degree Feedback Survey Sample #10

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

• Adjusts priorities to the new Corporate mission.
• Handles changes easily.
• Able to respond to incidents without stopping the workflow.
• Is flexible and open minded in dealing with others.
• Adjusts priorities to changing business goals.

If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Attitude

• Works to eliminate unnecessary work or barriers that get in others' way.
• Shows by their actions that they trust in the positive intentions of others.
• Is gracious and professional in their interactions with others.
• Builds open and trusting relationships.
• Contributes to a positive and fun work environment.

If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Performance

• Effectively organizes resources and plans
• ...Produce Quality
• Sets a high standard for job performance.
• ...Overall Performance
• Able to organize work.

If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Technology Use/Management

• Maximizes the use of new technology to deliver products and services.
• Uses technology in decision making and problem solving.
• Supports employee training and development initiatives regarding implementation of technology.
• Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
• Supports technical training and development of employees.

If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

Partnering/Networking

• Shares and develops cutting-edge ideas with a network of colleagues, fostering a culture of innovation and continuous improvement.
• Actively prevents conflicts by identifying issues early and resolving them promptly.
• Uses informal networks to share information.
• Supports communication and collaboration with other leaders in the industry.
• Develops key business contacts at other companies.

If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.