Adaptability - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Adaptability

• Able to step in and help co-workers when needed.
• Is aware of changes in the environment.
• Adjusts tactics and strategies.
• Is proactive and takes steps to prepare for changes in the workplace.
• Able to work effectively with new people and new teams.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Integrity

• Maintains strong relationships with others.
• Does what was promised.
• Follows tasks to completion.
• Fosters an environment built upon trust.
• Protects the integrity and confidentiality of information

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Cultural Awareness

• Understands how implicit biases can affect decisions, communication and productivity.
• Accepts individual differences.
• Respects the views offered by individuals with different cultural backgrounds.
• Fosters a diverse workforce free from discrimination and harassment.
• Hires individuals with different cultural backgrounds for the department.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Administrative Skill

• Takes responsibility for decisions.
• Enthusiastic about taking on challenging projects.
• Accurately implements contract provisions.
• Implements and uses performance measures.
• Completes reports on-time.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Results Oriented

• Holds others accountable for producing high quality work.
• Sets benchmarks and milestones to measure progress toward the objectives.
• Helps the team maintain focus on the goals.
• Has a positive attitude that encourages others to continue supporting the production goals.
• Identifies what needs to be accomplished.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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