Flexibility - 360 Degree Feedback Survey Sample #12

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Flexibility

• Adapts to new organizational structures, policies, or procedures.
• Identifies new opportunities to achieve goals
• Open to the perspectives/viewpoints of others.
• Adapts to circumstances as needed.
• Implements changes as a result of having listened to employees

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Juggling Multiple Responsibilities

• Assesses current capabilities before committing to new requests from customers.
• Keeps track of multiple assignments and deadlines.
• Ensures that assignments are prioritized according to the needs of the department/company.
• Prioritizes tasks for efficiency.
• Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Passion To Learn

• Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
• Exhibits willingness to upgrade skills through additional training and education.
• Demonstrates through personal behavior the commitment to high standards of performance.
• Takes advantage of training opportunities when they arise.
• Embraces new technology and procedures.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Cultural Awareness

• Functions effectively within various cultural contexts.
• Recognizes individual and cultural differences.
• Values the opinions of diverse groups and individual.
• Hires individuals with different cultural backgrounds for the department.
• Open to learning about different cultures.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Delegation

• Assigns tasks to create learning opportunities for the employees.
• Allows subordinates to use their own methods and procedures.
• Defines the roles, responsibilities, required actions, and deadlines for team members.
• Defines goals and objectives for subordinates.
• Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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