Change Management - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

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.

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.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . 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

Change Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Supports the Company's efforts to implement changes.
Works cooperatively with others to implement changes.
Effective in implementing new organizational vision and values.
Addresses organizational and departmental resistance to changes.
Assists others in understanding changes to the organization.
If were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Produces high quality work.
Is planful and organized.
Keeps themselves and others focused on constant improvement.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Bias for Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes work on time
Identifies ways to simplify work processes and reduce cycle times
Motivates others to achieve or exceed goals
Displays high energy and enthusiasm on consistent basis.
If were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Excellent at managing time.
Stays focused even when under pressure and stress.
Maintains self-control when personally criticized.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand how their work relates to organizational goals.
If were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Attempts to persuade others rather than simply control them.
Has excellent influencing/negotiating skills.
Communicates effectively with others.
If were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
High attention to detail.
Accurately implements contract provisions.
Enthusiastic about taking on challenging projects.
Completes reports on-time.
Implements and uses performance measures.
If were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Develops good rapport and trust with the customer.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Develops strong customer relationships.
Consistently models positive customer service attitudes.
Maintains positive customer relationships.
If were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Lets employees know when they have done well
Readily shares credit and gives others opportunity for visibility.
Recognizes team members who offer a significant contribution to a project.
Offers recognition in a timely manner.
Compliments other people when they do good work
If were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to deal with sensitive issues with tact and professionalism.
Understands the current organizational culture.
Effective in communicating with others within the organization.
Able to use corporate politics to advance department objectives.
Adept at navigating within the culture of the department.
If were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Monitors spending.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Ensures others follow the correct rules and regulations on fiscal matters.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
If were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

51. What are 's greatest strengths demonstrated this year?
    
    
    
52. What are 's areas for development?
    
    
    
53. Please give any final comments or suggestions for 's assessment.