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





Organizational Fluency

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Effective in communicating with others within the organization.
  1. Gets things done through the department.
  1. Understands the current organizational culture.
  1. Able to deal with sensitive issues with tact and professionalism.


Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Maintains knowledge of current trends in the industry.
  1. Adjusts strategic plans based on insights gathered from different points of view.
  1. Observes employees at work to get better insight into the issues they are dealing with.
  1. Converses with customers and clients to get a better insight into their personal needs.


Fiscal Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Develops budgets and plans for various programs and initiatives.
  1. Monitors expenses and verifies the need for items purchased.
  1. Provides budgeting and accounting support to the Company.


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. Is open to feedback from others.
  1. Is committed to enhancing their own knowledge and skills.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Fosters teamwork rather than individual competition
  1. Is able to accurately paraphrase and summarize what other team members have said.
  1. Relates to all kinds of people tactfully
  1. Facilitates effective teamwork during periods of change.


Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Makes you feel enthusiastic about your work
  1. Is ready to offer help
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company


Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Successful in resolving personnel conflicts.
  1. Able to remain calm in tense situations.
  1. Introduces targeted training and development initiatives to address and elevate subpar performance.
  1. Listens to others.


Achievement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Takes immediate action of projects that fall behind schedule.
  1. Completes work to given time frame and to budget
  1. Met required benchmarks for the position.
  1. Successfully completed the orientation training program.


Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares information and expertise; sought out as resource by others


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Identifies the most pressing needs of each client.
  1. Persistent in solving client issues.
  1. Is aware of the client's needs.
  1. Manages client accounts with high degree of competence.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Tries to ensure employees are ready to move to the next level.
  1. Encourages employees through recognition of positive changes in behavior.
  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.