Adaptability - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Adaptability	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Able to work within uncertain environments.
Adjusts plans to meet new situations.
Is open to changes in policies and procedures.
Adjusts strategy when new information is presented.
Able to work with individuals in the department who have different personalities and working styles.
Uses tools in innovative ways to solve problems.
Adapts to new environments.
Learns new skills to become competitive and contribute to the bottom line.
Is aware of changes to team personnel.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Shows a profound commitment to personal integrity and performance.
Delivers on all promises.
Is deeply committed to making decisions that benefit the department and organization overall.
Demonstrates unwavering integrity, dedication, and excellence, continually working to enhance the team's success and contribute positively to the organization.
Provides accurate and honest reporting that allows the company to provide a true representation of financial health, operational performance, and strategic goals.
Consistently adheres to ethical principles and making decisions based on what is morally right, rather than opting for shortcuts or dishonest practices.
Creates an environment where employees feel comfortable discussing concerns or suggestions, no matter how small.
Upholds strong moral and ethical standards, even when faced with challenges or temptations to compromise.
Prioritizes ethical behavior over immediate gains ensuring that actions align with values and the best interests of all stakeholders.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Consistently acknowledges and validates the contributions of team members from all backgrounds.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Seeks out opportunities to learn about different cultures and integrates that knowledge into leadership practices.
Seeks knowledge and information about other cultures.
Understands how their own cultural background can impact the way they communicate and interact with others.
Encourages open dialogue and ensures all voices are heard during team discussions.
Acknowledges and celebrates cultural holidays, milestones, and traditions within the team.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Delivers clear and concise instructions.
Shares important information with others.
Distills complex ideas into simple, understandable components.
Willing to accept feedback from others.
Listens attentively and responds thoughtfully, showing they value the conversation.
Communicates goals of project, resources required, resources available, etc. to the team
Communicates Corporate initiatives in a relevant and actionable manner to employees within his/her organization.
Listens attentively and without interrupting team members and customers
Conducts impactful training sessions.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Plans, develops, and delivers presentations.
Organizes documents in a visually appealing and consistent manner, following company standards or branding guidelines.
Takes responsibility for decisions.
Follows company guidelines, policies, regulations, procedures, and work ethics.
Plans travel arrangements.
Ensures compliance by verifying that the response meets the requirements and adheres to any formatting or submission guidelines specified in the RFQ/RFI.
Able to develop, justify and present a budget plan.
Plans and prioritizes facets/aspects of project workloads to keep on schedule.
Ensures adequate supply levels by monitoring inventory and placing orders when necessary.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Results Oriented	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Steps in to cover responsibilities during peak workloads or staff shortages.
Willing to take on new assignments to help increase production.
Completed work exceeds standards.
Establishes clear performance standards and reinforces them through regular feedback.
Has a strong drive to complete goals despite obstacles that may arise.
Develops detailed action plans with measurable deliverables and deadlines.
Concentrates efforts on the most urgent needs.
Defines success metrics and tracks progress against them consistently.
Completes all required coursework.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?
Responsible	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Works in a way that makes others want to work with her/him.
Acts as a resource without removing individual responsibility.
Sets high personal standards of performance.
Sets a good example
Behavior is ethical and honest.
Holds herself / himself accountable to goals / objectives
Completes assigned work tasks.
Responsible for setting the vision of the department.
Is a person you can trust.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

64. Strengths
    
    
    
65. Areas for Development
    
    
    
66. Please give any final comments or suggestions for [Participant Name Here]'s assessment.