Flexibility - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Flexibility:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Flexibility, Action, Continual Learning, Performance, Decision Making, Innovation, Technology Use/Management, Interpersonal Skills, Teamwork
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Flexibility

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Adapts to new organizational structures, policies, or procedures.
  1. Effective in incorporating new ideas.
  1. Adapts to circumstances as needed.
  1. Implements changes as a result of having listened to employees
  1. Able to adapt to new situations.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Sets high standards for themselves and others.
  1. Works at a quick pace.
  1. Completes tasks on time in spite of delays in the process.
  1. Takes advantage of changes to the current situation.
  1. Effectively makes decisions
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Shares best practices with others and learns from others.
  1. Sets relevant learning objectives and goals.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Takes the initiative to learn new skills.
  1. Builds on their strengths while addressing their weaknesses.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Works effectively in the department.
  1. Listens and responds to issues and problems
  1. ...Produce Quality
  1. Works well in this position.
  1. Able to organize work.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Open to the suggestions from subordinates.
  1. Views the issues from multiple perspectives before making a decision.
  1. Evaluates information before making a final decision.
  1. Makes good decisions for the department.
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Innovation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes risks to advance important ideas.
  1. Implements best practices within the department.
  1. Solves problems with insight and understanding.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Challenges current procedures to develop other alternatives.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Uses technology in decision making and problem solving.
  1. Proficient in the use of technical systems and processes.
  1. Supports technical training and development of employees.
  1. Adopts the implementation of new technology into the workplace.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Embraces the differences in individuals that comprise the team.
  1. Values the input from coworkers.
  1. Recognizes when others do a good job.
  1. Strives for win/win solutions
  1. Promotes acceptance of diverse viewpoints from team members.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Builds strong relationships with team members.
  1. Promotes open communication on the team.
  1. Facilitates team discussions and problem-solving
  1. Helps the team exercise good judgment by making sound and informed decisions.
  1. Is committed to the success of the team.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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