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
Is versatile and resilient.
Builds a more engaged and cohesive team willing to pivot and support each other through transitions and changes.
Is open to change and new ways of doing things.
Faces the unknown head-on, turning challenges into opportunities for growth and innovation.
Selects strategies according to the demands of the situation.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is flexible and open minded in dealing with others.
Is aware of changes to the policies and procedures.
Adjusts to the new vision and mission of the company.
Able to quickly learn new ways of performing their job.
Adjusts tactics when things are not working as expected.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Motivates others to achieve or exceed goals
Completes a large volume of work.
Encourages risk taking and experimentation to improve performance
Identifies ways to simplify work processes and reduce cycle times
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to work with employees who have different cultural backgrounds.
Is open and honest in communications with individuals from other cultures.
Participates in cultural training sessions/classes.
Recognizes and values individual and cultural differences.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has excellent influencing/negotiating skills.
Seeks to obtain consensus or compromise.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements and uses performance measures.
Enthusiastic about taking on challenging projects.
High attention to detail.
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates actions that impact the department/company.
Creates solutions to problems as soon as an incident occurs.
Independently seeks out new learning opportunities to improve their skills.
Addresses small problems before they become big ones.
Is proactive and gets things done.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assists others in understanding changes to the organization.
Supports the Company's efforts to implement changes.
Adopts changes to set and example for others to follow.
Able to get department employees to accept new changes.
Develops plans for following through on the changes.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Knows how to produce high quality products/work.
Is knowledgeable of procedures or systems necessary for the job.
Willingly shares his/her technical expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps accurate safety records.
Creates accurate and effective measures of safety.
Seeks to reduce the likelihood of accidents.
Works to implement corrective safety measures.
Committed to safety in the workplace.

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: