Adaptability - 360 Degree Feedback Survey Sample #12

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

• Is open to new ideas and innovations.
• Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
• Adjusts priorities to the new Corporate mission.
• Can take on new assignments.
• Adjusts to new plans and procedures.

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

Comments:

Integrity

• Fosters a high standard of ethics and integrity.
• Fosters an environment built upon trust.
• Maintains strong relationships with others.
• Follows tasks to completion.
• Demonstrates honesty and truthfulness at all times.

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

Comments:

Cultural Awareness

• Is aware of cultural differences in business etiquette.
• Is aware of differences in how individuals from other cultures greet one another.
• Seeks knowledge and information about other cultures.
• Values the opinions of diverse groups and individual.
• Views diversity as a strength, not as an issue.

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

Comments:

Administrative Skill

• Strong organizational skills to keep the workspace and department in order
• Able to develop, justify and present a budget.
• Completes reports on-time.
• Has strong technical/computer skills.
• Enthusiastic about taking on challenging projects.

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

Comments:

Results Oriented

• Sets challenging goals to be achieved.
• Strives to achieve high volume of output.
• Holds self and others accountable for achieving results.
• Measures progress toward the goal.
• Gives extra effort to solve problems and get work done on time.

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.