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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)
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. Adept at navigating within the culture of the department.
  1. Anticipates problems that may affect the department.
  1. Able to explain departmental policies and procedures to others.
  1. Understands the current organizational culture.


Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Formulates policies and strategies for addressing the Company's important challenges.
  1. Analyzes unique issues or problems impacting the Company.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Identifies root causes of problems.


Fiscal Management

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


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Embraces new technology and procedures.
  1. Creates an environment that supports personal development and exploration.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Actively and openly participates in group meetings.
  1. Willingly share their technical expertise
  1. Creates a climate that encourages team participation.
  1. Identifies and resolves conflicts within the team to increase team effectiveness


Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is ready to offer help
  1. Makes you feel enthusiastic about your work
  1. Takes responsibility for things that go wrong
  1. Delegate tasks effectively


Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Encourages employees to achieve their full potential.
  1. Maintains good working relationships with employees.
  1. Is aware of the unique strengths of each employee.
  1. Provides constructive, ongoing feedback.


Achievement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Sets challenging goals.
  1. Follows-up and takes action when goals are not met to ensure better results in the future.
  1. Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
  1. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.


Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Knows how to produce high quality products/work.
  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


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Satisfies client needs.
  1. Maintains strong relationships with clients.
  1. Looks for opportunities that have a positive impact on Clients.
  1. Is pro-active in dealing with clients and addressing their needs.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Supports the successes of other employees.
  1. Creates opportunities for professional development.
  1. Is open to receiving feedback.



  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.