Organizational Fluency- 360 Degree Feedback Survey Sample #6





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:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
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.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team





Organizational Fluency

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Adept at navigating within the culture of the department.
  1. Anticipates problems that may affect the department.
  1. Effective in communicating with others within the organization.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to explain departmental policies and procedures to others.


Fiscal Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Effective in using Company's resources.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Monitors expenses and verifies the need for items purchased.
  1. Provides budgeting and accounting support to the Company.


Vision

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Skilled at identifying problems and envisioning effective solutions.
  1. Turns the department's vision into defined objectives and a strategic framework.
  1. Channels team activities towards the vision's core aspects.
  1. Provides the vision needed to help the organization remain competitive and adaptable in a dynamic market.
  1. Aligns subordinates' work with the vision's critical priorities.


Flexibility

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is open to and values diverse perspectives.
  1. Encourages adaptability to utilize more efficient processes.
  1. Experiments with new ideas to create innovative solutions to issues.
  1. Fosters a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
  1. Is resilient and proactive to help thrive in unpredictable environments.


Action

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Drives and mobilizes others progress toward goals.
  1. Delegates tasks and assignments to subordinates as soon as a request has been made.
  1. Immediately develops alternatives and solutions when presented with a problem or issue.
  1. Regularly conducts preventative maintenance on the equipment.
  1. Creates innovative products and services.


Performance

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Sets a high standard for job performance.
  1. ...Produce Quality
  1. ...Overall Performance
  1. Has great overall performance
  1. Listens and responds to issues and problems


Problem Solving

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Ability to develop innovative solutions to problems.
  1. Implements effective solutions to critical problems.
  1. Generates alternative solutions to problems and challenges.
  1. Actively seeks the root cause of a problem.
  1. Able to balance the needs of different people in a solution to a problem.


Objectives

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Works toward achieving established goals and objectives.
  1. Able to organize work.
  1. Sets long-term and short-term goals.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Ability to establish realistic goals.


Empowering Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Provides opportunities for employee development and growth.
  1. Gives employees the authority to act on their own.
  1. Distributes the workload to subordinates.
  1. Allows for flexibility in the working hours.
  1. Demonstrates confidence in the abilities of subordinates.



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






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.