Flexibility - 360 Degree Feedback Survey Sample #5

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adapts to circumstances as needed.
Encourages others to adopt new procedures.
Acts decisively in frequently changing and uncertain environment.
Adapts to new organizational structures, policies, or procedures.
Able to adapt to new situations.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes interpersonal problems instead of reacting to them.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Consciously controls own negative emotions in order to keep team morale up.
Does not allow own emotions to interfere with the performance of others.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively organizes resources and plans
Able to organize work.
Encourages me to take on greater responsibility.
Ability to establish realistic goals.
Organizes and schedules events, activities, and resources.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds and maintains the trust of others.
Takes care to maintain confidential information.
Takes ownership, delivers on commitments
Demonstrates a sense of responsibility and commitment to public trust.
Works in a way that makes others want to work with her/him.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for opportunities to enhance contributions to the bottom line.
Understands & contributes to development of strategic goals.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the "basics" as to how [Company] functions/operates.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Works in an organized manner
Makes plans and follows through.
Anticipates obstacles and ways to overcome them.
Delegates role to team members to accomplish goals.

36. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for 's assessment.