Flexibility - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Flexibility:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Open to the perspectives/viewpoints of others.
  1. Implements changes as a result of having listened to employees
  1. Can handle changes without complaining.
  1. Identifies new opportunities to achieve goals
  1. Willing to try new ideas.

Self Management

Agree Unsure Disagree N/A
  1. Uses patience and self-control in working with customers and associates.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Steps away from a situation to process appropriate response.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Consciously controls own negative emotions in order to keep team morale up.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Encourages a work environment where individual differences are valued.
  1. Recognizes and values individual and cultural differences.
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Values the opinions of diverse groups and individual.
  1. Shows respect in daily interactions


Agree Unsure Disagree N/A
  1. Selects the appropriate techniques for analysis.
  1. Implements data validation techniques and methods.
  1. Uses appropriate techniques to solve problems.
  1. Identifies opportunities for progress and innovation.
  1. Balances risks and costs with the rewards and probabilities of success when decisions.

Time Management

Agree Unsure Disagree N/A
  1. Prioritizes tasks to identify immediate and long-term objectives.
  1. Keeps and maintains a To-Do list.
  1. Completes tasks ahead of schedule.
  1. Focuses on tasks that have high priority.
  1. Sets clearly defined goals.


Agree Unsure Disagree N/A
  1. Avoids stating unclear or conflicting goals.
  1. Maintains clarity in goals and objectives.
  1. Avoids creating ambiguity or mixed messages.
  1. Checks details thoroughly.
  1. Attends to the important details of a job or task.


Agree Unsure Disagree N/A
  1. Takes care to maintain confidential information.
  1. Is a person you can trust.
  1. Delivers on promises made.
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Works in a way that makes others want to work with her/him.

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

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.