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. Flexible in adjusting to the demands of the market place.
  1. Adapts workflows according to changing needs.
  1. Performs more and varried processes on the production line.
  1. Works effectively during periods of change.
  1. Builds a more engaged and cohesive team willing to pivot and support each other through transitions and changes.
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. Completes tasks on time in spite of delays in the process.
  1. Conducts critical-incident review immediately after the event.
  1. Prepares equipment at the start of the shift.
  1. Takes action when opportunities arise.
  1. Is proactive in developing solutions to problems.
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. Takes charge of their training and skills enhancement.
  1. Pursues professional development opportunities when they arise.
  1. Participates in regular training offered.
  1. Shares best practices with others and learns from others.
  1. Seeks opportunities to grow in skills and knowledge.
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 well in this position.
  1. Listens and responds to issues and problems
  1. Shown significant improvement in job performance.
  1. ...Produce Quality
  1. Sets a high standard for job performance.
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. Makes good decisions for the department.
  1. Carefully evaluates information before making an important decision.
  1. Understands what factors are important for deciding if a decision is "worth it"?
  1. Applies creative reasoning in making decisions.
  1. Performs a cost/benefit analysis before making a decision.
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. Implements best practices within the department.
  1. Fosters a creative and innovative work environment.
  1. Develops new products and services.
  1. Solves problems with insight and understanding.
  1. Encourages open communication to ensure that all proposals are considered.
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. Supports employee training and development initiatives regarding implementation of technology.
  1. Understands and is committed to implementing new technologies.
  1. Proficient in the use of technical systems and processes.
  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. Strives to lead by example to demonstrate the value of interpersonal relationships.
  1. Values the opinions of others.
  1. Adapts management style to meet the needs of the individual or situation.
  1. Maintains open and regular communication with others.
  1. A good listener who is attentive to others.
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. Helps the team balance analysis with decisiveness in making decisions.
  1. Listens to other team members without interrupting them.
  1. Helps other team members to research solutions to a problem.
  1. Takes the time to actively listen to other team member's perspectives.
  1. Takes the time to listen to the team's ideas.
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.