Adaptability - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Adaptability

What does Adaptability mean?
It means that ...

• You are flexible and open to new ideas and encourages others to value change.
• You can take on new assignments.
• You adapt to diversity within the team.
• You can accommodate changes as needed.
• You are able to adjusts tactics when things are not working as expected.

To what extent does this person exhibit Adaptability?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Action

What does Action mean?
It means that ...

• You motivate & supports others to gain skills
• You display high energy and enthusiasm on consistent basis.
• You make effective decisions, even when under pressure.
• You drive and mobilizes others progress toward goals.
• You do whatever it takes (within reason) to get the job done.

To what extent does this person exhibit Action?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Leadership

What does Leadership mean?
It means that ...

• You are able to align manpower, design work, an allocate tasks to achieve goals.
• You are able to organize the work of others.
• You motivate others to reach and exceed organizational goals and objectives.
• You set specific, measurable, and challenging goals.
• You are able to influence others.

To what extent does this person exhibit Leadership?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Decision Making

What does Decision Making mean?
It means that ...

• I perform a cost/benefit analysis before making a decision.
• I decide which short- and long-term goals should be created.
• You seek input from key people who should be involved in, or will be affected by, decisions
• I am open to listening to others who may have different ideas.
• You are willing to consider information from other sources.

To what extent does this person exhibit Decision Making?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Recognition

What does Recognition mean?
It means that ...

• You readily share credit and gives others opportunity for visibility.
• You let employees know when they have done well
• You recognize individuals for a specific outstanding achievement.
• You recognize the abilities and skills of self and others
• You say "thank you" to show appreciation for work of others.

To what extent does this person exhibit Recognition?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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