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

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  1. You get things done through the department.
  1. You anticipate problems that may affect the department.
  1. You understand the current organizational culture.
  1. You are aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. You understand departmental policies and procedures.
Please feel free to provide any comments to help explain your answers?

Communication Skills

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  1. You are professional at all times--never ridiculing, mocking or undermining peers or subordinates.
  1. I am willing to express my concerns to colleagues.
  1. I effectively engage with everyone from the CEO to external partners.
  1. You ask follow-up questions as needed.
  1. You give clear and convincing presentations.
Please feel free to provide any comments to help explain your answers?

Flexibility

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  1. I continuously learn and adapt new techniques to address evolving challenges.
  1. You adapt to different learning styles of employees as required to make sure employees receive the highest level of training.
  1. You can seamlessly transition between various environments and situations.
  1. I am able to change the workflow as needed to facilitate changes in regulations or policies.
  1. You demonstrate the ability to think outside the box and adjust as needed.
Please feel free to provide any comments to help explain your answers?

Self Management

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  1. You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. You use patience and self-control in working with customers and associates.
  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You step away from a situation to process appropriate response.
  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

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  1. You recognize and value individual and cultural differences.
  1. You are willing to work with employees who have different cultural backgrounds.
  1. You treat others with dignity and respect.
  1. You show respect in daily interactions
  1. I view diversity as a strength, not as an issue.
Please feel free to provide any comments to help explain your answers?

Managing Performance

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  1. You routinely hold audits of performance on a weekly or monthly basis.
  1. You reward individuals who show imagination in developing creative solutions to problems.
  1. I reward exceptional individuals with additional responsibilities.
  1. You regularly conduct performance reviews of all employees.
  1. I encourage employees to take additional training in areas where they had low performance scores.
Please feel free to provide any comments to help explain your answers?

Quality

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  1. You provide regular and timely feedback on quality levels.
  1. I propose a variety of solutions to address quality needs.
  1. You develop processes to enhance quality standards.
  1. You are a role model for quality practices and standards.
  1. You investigate critical incidents that impact quality.
Please feel free to provide any comments to help explain your answers?

Commitment To Result

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  1. You are willing to do whatever it takes-not afraid to have to put in extra effort.
  1. You create a sense of urgency among the store team members to complete activities, which drive sales.
  1. You are able to focus on a task even when working alone.
  1. You are committed to the team.
  1. You coordinate all department activities into a cohesive team effort.
Please feel free to provide any comments to help explain your answers?

Entrepreneurship

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  1. You maintain a high level of energy to respond to demands of the job.
  1. You find unique ways to go around barriers to success.
  1. You are excellent at managing relationships with stakeholders.
  1. You seek and utilize mentors to help guide your professional development.
  1. You are able to adapt the department to changing business demands and climate.
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.