Organizational Fluency- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Organizational Fluency:
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)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Organizational Fluency, Fiscal Management, Cultural Awareness, Interpersonal Skills, Leadership, Persuasion and Influence, Quality, Juggling Multiple Responsibilities, Technology Use/Management
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Organizational Fluency

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Understands departmental policies and procedures.
  1. Able to explain departmental policies and procedures to others.
  1. Effective in communicating with others within the organization.
  1. Anticipates problems that may affect the department.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops budgets and plans for various programs and initiatives.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Effective in using Company's resources.
  1. Monitors spending.
  1. Develops of the department's annual budget.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

Cultural Awareness

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is aware of the similarities and differences among and between cultural groups.
  1. Aware of their own cultural views.
  1. Encourages a work environment where individual differences are valued.
  1. Is open and honest in communications with individuals from other cultures.
  1. Communicates with others without the influence of racism.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Able to work with individuals at all levels of the Company.
  1. Willing to overlook personal differences and focus on completing the task at hand.
  1. Uses knowledge and charisma rather than position, power, or coercion to influence others
  1. Maintains open and regular communication with others.
  1. Works diligently to assist customers in finding the right products.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Sets specific, measurable, and challenging goals.
  1. Motivates and challenges employees to attain a shared vision.
  1. Motivates others to reach and exceed organizational goals and objectives.
  1. Demonstrates leadership and courage in critical situations.
  1. Effectively leads others.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Persuasion and Influence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Seeks to obtain consensus or compromise.
  1. Able to express own goals and needs.
  1. Has excellent influencing/negotiating skills.
  1. Understanding what others need.
  1. Persuades others to consider alternative points of view.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Quality

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Establishes timeframes for achieving suitable quality levels.
  1. Promotes an environment that fosters quality and safety.
  1. Quickly identifies critical issues impacting quality.
  1. Ensures the hiring of employees who are dedicated to delivering exceptional quality in every aspect of their work.
  1. Regularly measures product specifications to ensure uniformity and quality control.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Coordinates the work of a team by assigning tasks to other team members.
  1. Completes multiple tasks simultaneously.
  1. Ranks the importance of tasks to make sure critical tasks are completed first.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Supports technical training and development of employees.
  1. Uses technology in decision making and problem solving.
  1. Adopts the implementation of new technology into the workplace.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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