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. Can handle changes without complaining.
  1. Is versatile and resilient.
  1. Is open to alternative ways to accomplish goals
  1. Responds to changing governmental regulations.
  1. Seeks opportunities to improve processes and procedures to benefit the department.
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. Overcomes obstacles that may impede progress on a task.
  1. Approves purchase requests in a timely manner.
  1. Takes the initiative to address problems sooner rather than later.
  1. Is driven to complete a high amount of work.
  1. Regularly conducts preventative maintenance on the equipment.
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. Pursues self-improvement through continual learning.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Pursues learning that will enhance job performance.
  1. Builds on their strengths while addressing their weaknesses.
  1. Pursues professional development opportunities when they arise.
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. Listens and responds to issues and problems
  1. Able to organize work.
  1. Shown significant improvement in job performance.
  1. Works well in this position.
  1. Effectively organizes resources and plans
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. Comes across as confident, decisive, and resilient
  1. Outlines the parameters influencing the decision making process.
  1. Understands how different perspectives can help make better informed decisions.
  1. Willing to change their strategy if new information arises.
  1. Receptive to new ideas from others when making 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. Finds creative ways to get things done with limited resources.
  1. Solves problems with insight and understanding.
  1. Challenges current procedures to develop other alternatives.
  1. Implements best practices within the department.
  1. Creates a safe environment for idea-sharing.
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. Understands and is committed to implementing new technologies.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Proficient in the use of technical systems and processes.
  1. Adopts the implementation of new technology into the workplace.
  1. Uses technology in decision making and problem solving.
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. Shows appreciation for other's work.
  1. Is honest about making mistakes and willing to fix them.
  1. Offers constructive criticism to have a positive impact on performance.
  1. Communicates initiatives in a clear and actionable manner to employees.
  1. Adapts management style to meet the needs of the individual or situation.
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. Facilitates team discussions and problem-solving
  1. Takes the time to listen to the team's ideas.
  1. Makes eye contact when listening to colleagues.
  1. Promotes a team spirit within and outside department; partners with other groups.
  1. Listens to other team members without interrupting them.
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.