Flexibility - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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
Open to the perspectives/viewpoints of others.
Identifies new opportunities to achieve goals
Encourages others to adopt new procedures.
Works effectively during periods of change.
Implements changes as a result of having listened to employees
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Is flexible and open minded in dealing with others.
Able to quickly learn new ways of performing their job.
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
Seeks and utilizes opportunities for continuous learning and self-development.
Identifies ways to simplify work processes and reduce cycle times
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Encourages risk taking and experimentation to improve performance
Motivates others to achieve or exceed goals
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Treats others with dignity and respect.
Respects others regardless of age, race, gender, nationality, or disability.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Encourages a work environment where individual differences are valued.
Recognizes and values individual and cultural differences.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to obtain consensus or compromise.
Communicates effectively with others.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Able to express own goals and needs.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Strong organizational skills to keep the workspace and department in order
Enthusiastic about taking on challenging projects.
High attention to detail.
Has strong technical/computer skills.
Implements and uses performance measures.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Immediately works to complete goals well before their deadline.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Goes above and beyond the stated goals.
Prepares for unexpected contingencies.
Takes the initiative to change the direction or course of events.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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.
Effective in dealing with ambiguous and challenging situations.
Works cooperatively with others to implement changes.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willingly shares his/her technical expertise; sought out as resource by others
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.
Willingly shares information and expertise; sought out as resource by others
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
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures compliance with safety regulations.
Is not afraid to question a potential safety issue observed in the workplace.
Mitigates hazards and safety issues that arise.
Keeps accurate safety records.
Is aware of OSHA safety guidelines.

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: