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
Can handle changes without complaining.
Works effectively during periods of change.
Effective in incorporating new ideas.
Able to adapt to new situations.
Adapts to new organizational structures, policies, or procedures.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Delivers information in a clear, concise, and logical manner.
Communicates with department leadership
Asks follow-up questions as needed.
Addresses issues of key importance to stakeholders.
Communicates effectively with colleagues and customers
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Completes a large volume of work.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Motivates others to achieve or exceed goals
Conveys a sense of urgency about addressing problems and opportunities
Identifies ways to simplify work processes and reduce cycle times
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to express themselves clearly.
Is able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Management	Definite Strength	Meets Standards	Needs Development	N/A
Takes responsibility for things that go wrong
Sets an example for others to follow
Is ready to offer help
Keep staff informed about what is happening in the company
Delegate tasks effectively
Persuasion and Influence	Definite Strength	Meets Standards	Needs Development	N/A
Attempts to persuade others rather than simply control them.
Develops a good rapport with others.
Seeks to obtain consensus or compromise.
Persuades others to consider alternative points of view.
Has excellent influencing/negotiating skills.
Quality	Definite Strength	Meets Standards	Needs Development	N/A
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Encourages employees to produce the best quality products.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
Stays focused on meeting the needs of customers.
Responds to changing events to maintain progress toward achieving results.
Determined to complete tasks regardless of obstacles that may occur.
Completes all assigned tasks.
Plans the best course of action to achieve the goal.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Maximizes the use of new technology to deliver products and services.
Proficient in the use of technical systems and processes.
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Understands and is committed to implementing new technologies.

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.