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
Adapts the onboarding experience to meet the unique needs of each new employee.
Works effectively during periods of change.
Responds to the various needs of other colleagues and departments.
Is open to and values diverse perspectives.
Encourages others to adopt new procedures.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to change and adjusts plans when needed.
Responsive to the needs of others.
Develops insights and applies innovative solutions to projects and problems.
Embraces change and fosters an open-minded environment.
Able to adjust to changes as needed.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages risk taking and experimentation to improve performance
Conveys a sense of urgency about addressing problems and opportunities
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes a large volume of work.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Understands what customs and etiquette are important for individuals from other cultures.
Encourages a work environment where individual differences are valued.
Understands how their own cultural background can impact the way they communicate and interact with others.
Willing to work with employees who have different cultural backgrounds.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Attempts to persuade others rather than simply control them.
Persuades others to consider alternative points of view.
Has excellent influencing/negotiating skills.
Develops a good rapport with others.
Ensures stakeholders are involved in the decision making process.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Enthusiastic about taking on challenging projects.
Able to develop, justify and present a budget.
Completes reports on-time.
Has strong technical/computer skills.
High attention to detail.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates draft documents for the director.
Builds strong interpersonal relationships upon first meeting.
Is proactive and gets things done.
Acts quickly when an opportunity becomes available.
Volunteers time and effort toward the completion of important goals.
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.
Inspires others to want to change.
Supports new initiatives for organizational changes to improve effectiveness.
Supports the Company's efforts to implement changes.
Able to get team members to change their attitudes.
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 information and expertise; sought out as resource by others
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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
Identifies predictable hazards in the workplace.
Develops a strong safety culture.
Commits adequate resources toward safety measures.
Performs work safely.
Supports safety programs and procedures.

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: