Organizational Fluency- 360 Degree Feedback Survey Sample #3





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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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 able to use corporate politics to advance department objectives.
  1. You understand the current organizational culture.
  1. You are able to explain departmental policies and procedures to others.
  1. You anticipate problems that may affect the department.
  1. You understand departmental policies and procedures.
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 persuasive and articulate when communicating.
  1. I make eye contact with the person I am speaking with.
  1. You write complete and developmentally-oriented performance appraisals with clear goals, using SMART criteria
  1. You address issues of key importance to stakeholders.
  1. I provide feedback in a helpful and respectful way, focusing on improvement.
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 actively seek out new knowledge, staying updated with industry trends, and are open to changing the workflow based on the situation.
  1. I am flexible in processing routine requests.
  1. You are open to change and new ways of doing things.
  1. You encourage others to adopt new procedures.
  1. You incorporate new skills fluently.
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 consciously control own negative emotions in order to keep team morale up.
  1. You use patience and self-control in working with customers and associates.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
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. I interact effectively with people from different cultural backgrounds.
  1. You recognize and value individual and cultural differences.
  1. You understand how implicit biases can affect decisions, communication and productivity.
  1. You maintain an inclusive work environment that maximizes the talents of others in achieving goals.
  1. You are willing to work with employees who have different 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. I set performance expectations that are clear, specific and concise.
  1. You implement remediation plans with follow up after 3 months.
  1. You establish standards for expected performance.
  1. I monitor progress to ensure performance goals are being met.
  1. You set long and short term goals.
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 implement standardized and data driven quality processes/procedures.
  1. You ensure the hiring of employees that have a quality focus.
  1. You encourage employees to produce the best quality products.
  1. You are able to create quality initiatives to be implemented organization-wide.
  1. You develop specific quality standards/goals to be met within a specified timeframe.
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 maintain persistence and dedication to achieving results.
  1. You are committed to the team.
  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 encourage commitment in others to obtain results.
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 are able to adapt the department to changing business demands and climate.
  1. You exhibit determination and passion in completion of goals.
  1. You take the initiative to complete tasks.
  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.