Flexibility - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Instructions

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 comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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.

Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Willing to try new ideas.
Implements changes as a result of having listened to employees
Identifies new opportunities to achieve goals
Works effectively during periods of change.
Open to the perspectives/viewpoints of others.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Asks follow-up questions as needed.
Communications with department leadership
Deals with difficult situations calmly and confidently.
An effective listener who is responsive to information needs.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Conveys a sense of urgency about addressing problems and opportunities
Completes a large volume of work.
Encourages risk taking and experimentation to improve performance
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Identifies ways to simplify work processes and reduce cycle times
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to control their own emotions.
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to manage their own emotions.
Management	Definite Strength	Meets Standards	Needs Development	N/A
Sets an example for others to follow
Takes responsibility for things that go wrong
Is ready to offer help
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Persuasion and Influence	Definite Strength	Meets Standards	Needs Development	N/A
Ensures stakeholders are involved in the decision making process.
Has excellent influencing/negotiating skills.
Understanding what others need.
Communicates effectively with others.
Seeks to obtain consensus or compromise.
Quality	Definite Strength	Meets Standards	Needs Development	N/A
Reflects on what is working and what could be improved.
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Corrects issues in a timely manner.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
Inspires and motivates co-workers to be productive and energetic at work
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Helps others when free-time is available.
Explains the "whys" behind organizational objectives
Provides clear expectations for employees.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Proficient in the use of technical systems and processes.
Applies complex rules and regulations to maintain optimal system performance.
Uses technology in decision making and problem solving.
Supports employee training and development initiatives regarding implementation of technology.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.

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

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

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