Organizational Fluency- 360 Degree Feedback Survey Sample #3





Competencies Included:
Organizational Fluency, Communication Skills, Flexibility, Self Management, Cultural Awareness, Managing Performance, Quality, Commitment To Result, Entrepreneurship
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)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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




Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are adept at navigating within the culture of the department.
  1. You are able to explain departmental policies and procedures to others.
  1. You are able to deal with sensitive issues with tact and professionalism.
  1. You get things done through the department.
  1. You are aware of other organizational cultures to compare/contrast with the current organizational culture.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are able to demonstrate persuasiveness in pursuit of objectives.
  1. You communicate effectively with colleagues and customers
  1. You deal with difficult situations calmly and confidently.
  1. You choose the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
  1. You communicate with department leadership
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are willing to try new ideas.
  1. You encourage others to adopt new procedures.
  1. You are open to the perspectives/viewpoints of others.
  1. You are effective in incorporating new ideas.
  1. You adapt to new organizational structures, policies, or procedures.
Please feel free to provide any comments to help explain your answers?

Self Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You consciously control own negative emotions in order to keep team morale up.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You support and mentor others that may have different cultural backgrounds.
  1. I am an advocate for others with different cultural backgrounds.
  1. I seek opportunities to learn about the other cultural backgrounds of colleagues.
  1. I develop skills and attitudes to bridge cultural differences.
  1. I am effective in working with individuals with a variety of cultural backgrounds.
Please feel free to provide any comments to help explain your answers?

Managing Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You recognize employees with a long and distinguished career of service.
  1. You set clear and ambitious goals to be met.
  1. You hold employees accountable for meeting performance expectations.
  1. I determine the operational standards needed for performance of the job.
  1. I recognize people who provide outstanding leadership in planning, organizing.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You correct issues in a timely manner.
  1. You encourage others to produce the highest quality work products.
  1. You encourage employees to produce the best quality products.
  1. You reflect on what is working and what could be improved.
  1. You always strive to produce the highest quality work products.
Please feel free to provide any comments to help explain your answers?

Commitment To Result

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You take immediate action toward goals.
  1. You create a sense of urgency among the store team members to complete activities, which drive sales.
  1. You are committed to the team.
  1. You encourage commitment in others to obtain results.
  1. You are willing to do whatever it takes-not afraid to have to put in extra effort.
Please feel free to provide any comments to help explain your answers?

Entrepreneurship

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You devote a certain amount of time and effort to developing new business opportunities.
  1. You understand the processes and various stages of business development.
  1. You balance risks and rewards when making decisions.
  1. You are excellent at managing relationships with stakeholders.
  1. You can work effectively in an environment of uncertainty.
Please feel free to provide any comments to help explain your answers?

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






  2. Strengths


  3. Areas for Development


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