Flexibility - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to adapt to new situations.
Implements changes as a result of having listened to employees
Adapts to new organizational structures, policies, or procedures.
Encourages others to adopt new procedures.
Can handle changes without complaining.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Flexible and open to new ideas and encourages others to value change.
Recognizes and implements changes to enhance efficiency and effectiveness.
Learns from personal experiences and/or mistakes.
Able to work effectively with new people and new teams.
Is proactive and takes steps to prepare for changes in the workplace.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies ways to simplify work processes and reduce cycle times
Motivates others to achieve or exceed goals
Encourages risk taking and experimentation to improve performance
Completes a large volume of work.
Conveys a sense of urgency about addressing problems and opportunities
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Values the opinions of diverse groups and individual.
Seeks out different viewpoints and benefits from different perspectives.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Recognizes and values individual and cultural differences.
Fosters a diverse workforce free from discrimination and harassment.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Persuades others to consider alternative points of view.
Has excellent influencing/negotiating skills.
Communicates effectively with others.
Understanding what others need.
Develops a good rapport with others.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
High attention to detail.
Strong organizational skills to keep the workspace and department in order
Implements and uses performance measures.
Accurately implements contract provisions.
Enthusiastic about taking on challenging projects.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Prepares for unexpected contingencies.
Takes action without being asked.
Goes above and beyond the stated goals.
Seeks and utilizes opportunities for continuous learning and self-development.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works cooperatively with others to implement changes.
Addresses organizational and departmental resistance to changes.
Adopts changes to set and example for others to follow.
Supports the Company's efforts to implement changes.
Effective in implementing new organizational vision and values.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willingly shares information and expertise; sought out as resource by others
Knows how to produce high quality products/work.
Willingly shares his/her technical expertise; sought out as resource by others
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Demonstrates mastery of the technical competencies required in his/her work.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Points out behaviors in others that may be unsafe.
Develops a sustainable safety culture.
Is not afraid to question a potential safety issue observed in the workplace.
Ensures compliance with safety regulations.
Participates in safety training as applicable.

51. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


53. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    


54. What changes do you see [Company] making in order to raise the standards?
    
    


55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


56. What do you like best about working for [Company]?
    
    


57. What do you like least about working for [Company]? How could it be improved?
    


93. Use the space below to enter any final comments you would like to be noted: