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 open to alternative ways to accomplish goals
Ensures that each employee's unique learning style is accommodated, which maximizes the effectiveness of the training.
Encourages others to adopt new procedures.
Works effectively during periods of change.
Encourages a culture of experimentation and innovation.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively with various personalities of team members.
Takes decisive action to alter course when needed.
Responds quickly to new information.
Adjusts tactics when things are not working as expected.
Able to use new features of software applications to analyze data.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Converts the strategic plan into action
Is punctual and consistently meets deadlines.
Is willing to help colleagues with their tasks and challenges.
Prioritizes tasks effectively, often choosing tasks that have the highest impact or urgency.
Initiates the commencement of work on projects.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Participates in cultural training sessions/classes.
Willing to work with employees who have different cultural backgrounds.
Acknowledges and celebrates cultural holidays, milestones, and traditions within the team.
Demonstrates humility when learning about unfamiliar cultural customs or beliefs.
Publicly acknowledges cultural contributions and achievements in team settings.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others by articulating how individual roles contribute to a greater organizational purpose.
Identifies cultural, political, or organizational sensitivities before making a case, avoiding missteps that could undercut credibility.
Demonstrates deep subject matter knowledge through clear, confident explanations that build trust.
Communicates in a way that encourages employees to think about the issues that currently matter the most.
Sets the proper context for employees to make the best decisions.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inventories and documents current supplies and resources.
Effective at scheduling project activities and assignments.
Compiles, transcribes, and distributes minutes of meetings.
Serves as a liaison to other departments.
Plans, researches, and prepares presentations.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Begins a task and follows through until completion.
Goes above and beyond the stated goals.
Initiates actions that lead to solving problems.
Implements scalable solutions that accommodate future expansion or complexity.
Seeks alternative methods or resources when initial approaches fail or are unavailable.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the benefits that may be created by changes.
Motivates and inspires staff to implement changes.
Sets goals for what changes are required.
Effective in implementing new organizational vision and values.
Empowers employees with decision-making responsibilities to allow them to take ownership of certain aspects of the change.
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.
Seeks information from others as needed.
Is knowledgeable of procedures or systems necessary for the job.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures that all supervisors are aware of regulatory and compliance measures.
Encourages others to work safely.
Ensures compliance with safety regulations.
Identifies predictable hazards in the workplace.
Mitigates hazards and safety issues that arise.

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: