Flexibility - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Flexibility	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to adapt to new situations.
Is open to alternative ways to accomplish goals
Encourages others to adopt new procedures.
Can handle changes without complaining.
Willing to try new ideas.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to organize work.
...Overall Performance
Effectively organizes resources and plans
Works well in this position.
...Produce Quality
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Innovation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Builds upon the ideas and solutions of others.
Finds creative ways to get things done with limited resources.
Implements best practices within the department.
Develops new products and services.
Searches for opportunities and innovative ways to improve the organization.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Motivated to exceed performance goals.
Successfully completed the orientation training program.
Holds others to high standards of achievement.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Managing Risk	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Tracks and monitors incidents that may increase the risk of adverse consequences.
Improves process safety where possible.
Maintains open communication with other departments.
Committed to implementing rules and procedures to minimize risk.
Knows how to obtain desired results with minimal losses.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is aware of the documents and reports needed to maintain compliance with regulations.
Interacts with auditors and regulators on a professional basis.
Keeps informed of various regulations and procedures.
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Complies with trade agreements affecting international companies.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Allows the team to take responsibility for the project.
Gives employees autonomy to complete tasks on their own.
Encourages employees to expand their skills in order to take on greater responsibilities.
Gives employees the opportunity to make their own decisions at work.
Provides opportunities for employee development and growth.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Recognizes the abilities and skills of self and others
Recognizes individuals for a specific outstanding achievement.
Compliments other people when they do good work
Says "thank you" to show appreciation for work of others.
Makes people around them feel appreciated and valued.
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Anticipates problems that may affect the department.
Understands the current organizational culture.
Able to use corporate politics to advance department objectives.
Able to deal with sensitive issues with tact and professionalism.
Gets things done through the department.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.