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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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
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Flexibility

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is open to and values diverse perspectives.
  1. Responds to the various needs of other colleagues and departments.
  1. Incorporates new skills fluently.
  1. Can easily accommodate changes in personnel of the department.
  1. Navigates ambiguity with ease, maintaining focus and productivity amidst uncertainty.
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. Fixes problems when they occur.
  1. Leverages skills and resources to exceed expectations on projects.
  1. Works at a quick pace.
  1. Changes course to meet the needs of a new situation.
  1. Moves forward on important projects.
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. Sets relevant learning objectives and goals.
  1. Takes the initiative to learn new skills.
  1. Pursues self-improvement through continual learning.
  1. Views setbacks as opportunities to learn from.
  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. Effective in performing his/her job.
  1. Has great overall performance
  1. Listens and responds to issues and problems
  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. Supports, encourages or helps others to be sure about the decisions they are making.
  1. Facilitates meetings with others to try to consider alternative courses of action.
  1. Uses reasonable assumptions and logic to decide between alternate courses of action
  1. Receptive to new ideas from others when making decisions.
  1. Considers the ethical implications of decisions.
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. Solves problems with insight and understanding.
  1. Challenges current procedures / processes to develop new solutions.
  1. Encourages employees to consider opportunities to innovate processes and products.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Transforms raw ideas into actionable plans with a higher likelihood of successful implementation.
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. Supports employee training and development initiatives regarding implementation of technology.
  1. Proficient in the use of technical systems and processes.
  1. Supports technical training and development of employees.
  1. Applies complex rules and regulations to maintain optimal system performance.
  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. Is thoughtful and honest about the feedback they give others.
  1. Considers the other individual's point of view.
  1. Embraces the differences in individuals that comprise the team.
  1. Gives credit where credit is due.
  1. Is someone you can trust.
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. Shares credit for accomplishments with team members
  1. Acts as an effective team player
  1. Facilitates good rapport between team members.
  1. Willingly share their technical expertise
  1. Helps the team bounce back from obstacles to progress.
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.