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
Dedicated to evolving and enhancing business processes, which demonstrates flexibility.
Adapts to different learning styles of employees as required to make sure employees receive the highest level of training.
Actively seeks out new knowledge, staying updated with industry trends, and is open to changing the workflow based on the situation.
Can seamlessly transition between various environments and situations.
Quickly adapts to new circumstances, challenges, or opportunities as they arise.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively with various personalities of team members.
Able to adjust to changing environments.
Able to adjust to changes as needed.
Works effectively in dynamic and changing work environments.
Responsive to the needs of others.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages risk taking and experimentation to improve performance
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Conveys a sense of urgency about addressing problems and opportunities
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
May advocate for others with different cultural backgrounds.
Accepts individual differences.
Is open and honest in communications with individuals from other cultures.
Understands what customs and etiquette are important for individuals from other cultures.
Aware of their own cultural views.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates effectively with others.
Able to express own goals and needs.
Understanding what others need.
Persuades others to consider alternative points of view.
Develops a good rapport with others.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements and uses performance measures.
Has strong technical/computer skills.
Takes responsibility for decisions.
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Independently seeks out new learning opportunities to improve their skills.
Is a self-starter. Does not wait to be told to do something.
Initiates important conversation topics at meetings.
Prepares for unexpected contingencies.
Initiates new projects for the department.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others to want to change.
Adopts changes to set and example for others to follow.
Develops plans for following through on the changes.
Is an inspiration for others to accept the recent changes.
Supports the Company's efforts to implement changes.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates mastery of the technical competencies required in his/her work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Is knowledgeable of procedures or systems necessary for the job.
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a sustainable safety culture.
Participates in safety training when offered.
Develops a strong safety culture.
Is not afraid to question a potential safety issue observed in the workplace.
Encourages others to attend safety training.

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: