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Organizational Fluency- 360 Degree Feedback Survey Sample #5





360-Degree Assessment 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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Dear Employee:

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 Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



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Organizational Fluency

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Understands the current organizational culture.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Effective in communicating with others within the organization.


Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
  1. Converses with customers and clients to get a better insight into their personal needs.
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Keeps abreast of regulatory, technological, and competitive shifts that could impact the organization's strategic direction.


Fiscal Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops of the department's annual budget.
  1. Effective in using Company's resources.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Develops budgets and plans for various programs and initiatives.


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Takes advantage of training opportunities when they arise.
  1. Stays up-to-date on emerging technologies.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Enjoys learning new skills and techniques.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Encourages open communication
  1. Facilitates team discussions and problem-solving
  1. Builds strong relationships with team members.
  1. Coaches team members to work toward a common goal.


Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Provides realistic and actionable suggestions and support for improvement.
  1. Provides regular updates on project status, challenges, and achievements to stakeholders.
  1. Uses delegation as a developmental tool, gradually increasing autonomy as competence grows.
  1. Provides feedback based on observable facts and behaviors--not personal opinions or emotions.


Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Provides training on equipment as needed.
  1. Offers constructive feedback to facilitate performance improvement.
  1. Encourages employees to achieve their full potential.
  1. Determines which team members are to be promoted to the next higher level.


Achievement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Aligns individual and team aspirations with organizational goals through strategic goal setting.
  1. Maintains a disciplined and strategic approach to goal achievement, ensuring efficiency and effectiveness.
  1. Sets challenging goals.
  1. Completes work promptly and efficiently.


Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Fulfills commitments made to clients.
  1. Identifies the most pressing needs of each client.
  1. Documents client interactions.
  1. Is consistent in services provided to clients.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Assesses employees' developmental needs.



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






  2. Strengths


  3. Areas for Development


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