Adaptability - 360 Degree Feedback Survey Sample #13

Instructions

You have been selected to provide valuable feedback for the manager listed above. Your insights are an important part of [Participant]'s leadership development process. This tool is designed to gather broad and comprehensive feedback on the core competencies and role responsibilities that are crucial for the continuous success of our organization.

When responding to the assessment form, please consider your experiences working with this individual over the past six to twelve months. Reflect on specific instances, interactions, and overall performance that you have observed. Your responses will be combined with feedback from other colleagues to create a holistic view of the manager's strengths and areas for improvement. This collective feedback will be used to guide their ongoing professional development.

Please be candid and constructive in your comments, as they will be shared anonymously with the manager. Your feedback will be instrumental in helping them understand their impact on the team and the organization, and in identifying opportunities for growth. We appreciate your time and effort in contributing to this important process.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



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Adaptability	Strongly Disagree	Disagree	Agree	Strongly Agree
Develops insights and applies innovative solutions to projects and problems.
Adjusts plans or schedules to deal with changing situations.
Successfully handles the implementation of the reorganization.
Adapts to new work processes and procedures.
Helps employees overcome resistance to change so that they can adapt more readily to changing circumstances.
Continual Improvement	Strongly Disagree	Disagree	Agree	Strongly Agree
Promotes training and development opportunities to enhance job performance.
Analyzes processes to determine areas for improvement.
Looks for ways to expand current job responsibilities.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to improve work processes and procedures.
Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Fosters a sense of purpose by connecting each person's work to the team's shared direction.
Maintains an open-door policy to be available to answer questions and provide guidance to employees.
Creates clarity around roles, responsibilities, and success metrics.
Keeps the team grounded and purpose-driven during high-stress or fast-paced situations.
Instills a sense of purpose by showing how each role supports the organization's goals.
Persuasion and Influence	Strongly Disagree	Disagree	Agree	Strongly Agree
Leverages industry insights and benchmarks to support persuasive arguments and strategic recommendations.
Creates an environment where employees can explore new ideas and evolve their approach to problem-solving.
Maintains a high reputation within the department/organization.
Is able to change other people's thoughts, beliefs, and actions.
Assesses power dynamics and informal influencers to determine the most effective pathways to obtain buy-in.
Quality	Strongly Disagree	Disagree	Agree	Strongly Agree
Communicates with team members regarding best quality practices.
Creates quality improvement programs and processes.
Works with precision and attention to detail.
Develops measures of the success of quality initiatives.
Creates a culture of excellence and high standards.
Juggling Multiple Responsibilities	Strongly Disagree	Disagree	Agree	Strongly Agree
Is aware of the deadlines for specific tasks/assignments.
Assigns tasks based on skills of team members.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Ensures that assignments are prioritized according to the needs of the department/company.
Assesses current capabilities before committing to new requests from customers.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Understands that collaboration often leads to more innovative and effective solutions.
Builds strong interpersonal relationships for more effective collaboration.
Ensures that all members are aligned and motivated, contributing to a cohesive and productive team dynamic.
Gives consideration to the innovative ideas presented by others.
Guides team members to reconcile their differences and collaborate effectively.
Empowering Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Motivates and encourages employees to be successful in their jobs.
Gives employees important tasks to expand their career options.
Encourages employees to think outside the box.
Allows subordinates to perform mission critical tasks.
Gives employees the freedom to set their own schedule.
Organizational Fluency	Strongly Disagree	Disagree	Agree	Strongly Agree
Able to use corporate politics to advance department objectives.
Effective in communicating with others within the organization.
Understands the current organizational culture.
Gets things done through the department.
Able to explain departmental policies and procedures to others.

46. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
48. Overall, please rate the effectiveness of [Participant Name Here].
    

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

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