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
Considers other solutions provided by employees.
Capable of delivering a diverse range of goods and services to meet various business requirements.
Demonstrates adaptability in innovative thought processes.
Effectively manages changes in financial resources.
Faces the unknown head-on, turning challenges into opportunities for growth and innovation.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to changes in policies and procedures.
Adjusts plans to meet the needs of new constraints.
Works effectively with various personalities of team members.
Continually trying to improve skills to remain current.
Is aware of changes in the environment.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes a large volume of work.
Seeks and utilizes opportunities for continuous learning and self-development.
Motivates others to achieve or exceed goals
Conveys a sense of urgency about addressing problems and opportunities
Encourages risk taking and experimentation to improve performance
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is sensitive to the similarities and differences that exist between cultures.
Seeks clarification to avoid misunderstandings.
Aware of their own cultural views.
Willing to work with employees who have different cultural backgrounds.
Accepts individual differences.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Persuades others to consider alternative points of view.
Communicates effectively with others.
Ensures stakeholders are involved in the decision making process.
Understanding what others need.
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.
Able to develop, justify and present a budget.
Completes reports on-time.
Enthusiastic about taking on challenging projects.
Has strong technical/computer skills.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prepares for unexpected contingencies.
Anticipates problems and initiates plans to address them.
Takes corrective action to address performance deficiencies/issues.
Goes above and beyond the stated goals.
Quickly comes to the aid of those who may need help.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is an inspiration for others to accept the recent changes.
Effective in implementing new organizational vision and values.
Addresses organizational and departmental resistance to changes.
Inspires others to want to change.
Works cooperatively with others to implement changes.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Is knowledgeable of procedures or systems necessary for the job.
Seeks information from others as needed.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Performs work safely.
Seeks to reduce the likelihood of accidents.
Works to implement corrective safety measures.
Points out behaviors in others that may be unsafe.
Creates accurate and effective measures of safety.

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: