Flexibility - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for participating in a 360-degree feedback assessment. In this process, you will complete a self-assessment questionnaire (below). You will also receive feedback from others including your manager, peers and direct reports. As you respond, please respond using just your experiences in the past 12 months. Rate each item using the scale shown. 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 you at the conclusion of this assessment to help guide your ongoing professional development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Edit this Survey

Would you like to edit this survey? Click here to begin.

Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I am able to increase output to meet increased demand.
I pivot strategies, operations, or processes in real-time to meet new challenges or seize new opportunities.
I foster an inclusive learning environment where everyone feels supported, ultimately leading to stronger team cohesion and increased productivity.
I support a culture that values flexibility, continuous improvement and innovation.
You are dedicated to evolving and enhancing business processes, which demonstrates flexibility.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You step away from a situation to process appropriate response.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
You consciously control own negative emotions in order to keep team morale up.
You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are able to establish realistic goals.
You set long-term and short-term goals.
You organize and schedules events, activities, and resources.
You encourage others to take on greater responsibility.
You are able to organize work.
Collaboration	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I collaborate to manage interpersonal disputes with a positive approach.
I cultivate a collaborative culture that drives innovation, productivity, and employee satisfaction.
You promote a culture of collaboration, shared inspiration and creativity to tackle workplace problems.
I develop networks and builds alliances across departments.
You are willing to work with others to solve problems.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You demonstrate congruence between statements and actions.
You are a person others can count on.
You deliver on promises made.
You build and maintain the trust of others.
You communicate an understanding of the other person's interests, needs and concerns.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I create innovative strategies.
You ensure the department has a viable strategy for moving forward.
You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
You develop a corporate strategy to establish business operations in different locations.
I can successfully implement a strategic plan.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You notify staff when the plan is not on schedule.
I determine what supplies/equipment will be needed for the job.
I accurately estimate the duration of tasks.
You create to-do lists to make sure nothing is missed.
I encourage others to follow the plan.

36. Overall, please rate the effectiveness of [Participant Name Here].
    

    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 [Participant Name Here]'s assessment.