Organizational Fluency- 360 Degree Feedback Survey Sample #12





360 Feedback Survey

Assessments 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)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Organizational Fluency

  • Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  • Anticipates problems that may affect the department.
  • Understands the current organizational culture.
  • Understands departmental policies and procedures.
  • Gets things done through the department.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Continual Improvement

  • Analyzes processes to determine areas for improvement.
  • Looks for ways to expand current job responsibilities.
  • Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  • Open to the suggestions from others.
  • Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Initiative

  • Acts quickly when an opportunity becomes available.
  • Initiates important conversation topics at meetings.
  • Anticipates problems and initiates plans to address them.
  • Cleans the workspace without being told.
  • Acts quickly when a small problem arises to keep it from becoming a major issue.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Juggling Multiple Responsibilities

  • Determines which tasks are critical and which tasks are optional.
  • Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  • Assesses current capabilities before committing to new requests from customers.
  • Plans and organizes continuously while performing all other responsibilities and activities.
  • Coordinates the work of a team by assigning tasks to other team members.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Establishing Focus/Direction

  • Excellent at managing time.
  • Makes sure that employees understand and identify with the team's mission.
  • Maintains self-control when personally criticized.
  • Helps guide employees with prioritizing tasks.
  • Functions well under stress, deadlines, and/or significant workloads.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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