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Change Management - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Change Management:
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:

[Company] 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.

Competencies Included:
Change Management, Excellence, Bias for Action, Establishing Focus/Direction, Persuasion and Influence, Administrative Skill, Customer Focus, Recognition, Organizational Fluency, Fiscal Management
Sample Result Document:
Sample Results
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 . 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
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Change Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Shares important information about the department/company to inform employees of the need for changes.
  1. Develops a proactive strategy to manage changes happening in the business environment.
  1. Sets goals for what changes are required.
  1. Develops a strategy for implementing changes.
  1. Leads a cross-functional team with employees from different departments to implement changes.
If [Participant Name] 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
  1. Demonstrates the analytical skills to do their job.
  1. Keeps themselves and others focused on constant improvement.
  1. Produces high quality work.
  1. Is planful and organized.
  1. Can be counted on to add value wherever they are involved.
If [Participant Name] 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
  1. Makes decisions within a specific time limit to avoid overthinking about problems.
  1. Gets the team to initially complete small tasks to boost their confidence and motivation to take on bigger challenges.
  1. Addresses minor issues early to prevent them from escalating into larger problems.
  1. Takes calculated risks.
  1. Keeps the team regularly updated as to the progress to ensure everyone is aware of what work still needs to be done.
If [Participant Name] 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
  1. Recognizes and reinforces behaviors that meet or exceed established standards.
  1. Uses guiding questions to help employees think critically and make informed decisions.
  1. Responds constructively to setbacks by exploring alternative paths to goal completion.
  1. Sets expectations for acceptable job performance.
  1. Developing a plan or strategy providing a clear path forward.
If [Participant Name] 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
  1. Shares relevant personal experiences to illustrate effective approaches and guide decision-making.
  1. Is calm and avoids emotional outbursts.
  1. Makes effective presentations.
  1. Maintains a high personal and professional reputation.
  1. Maintains a high reputation within the department/organization.
If [Participant Name] 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
  1. Plans, researches, and prepares presentations.
  1. Demonstrates keen awareness of others' reactions and adapts communication and actions accordingly to foster effective collaboration.
  1. Provides assistance to others in obtaining passports, visas, and other international travel documents.
  1. Formats and produces a variety of business related documents/reports.
  1. Proofreads and revises documents to enhance clarity, professionalism, and alignment with client expectations.
If [Participant Name] 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
  1. Considers customers point of view when making decisions.
  1. Meets with customers on a regular basis.
  1. Is focused on improving customer services.
  1. Uses product expertise to guide customers toward a satisfying choice.
  1. Prioritizes customer issues based on urgency.
If [Participant Name] 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
  1. Creates awards that reflect specific company values.
  1. Is transparent in communication about recognition programs and awards.
  1. Creates clear links between recognition and HR driven incentive systems.
  1. Offers recognition that reflects the employee's strengths, dedication, and values.
  1. Offers recognition that is well deserved.
If [Participant Name] 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
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Effective in communicating with others within the organization.
  1. Gets things done through the department.
  1. Understands departmental policies and procedures.
  1. Able to explain departmental policies and procedures to others.
If [Participant Name] 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
  1. Keeps excellent records for financial transparency.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Monitors expenses and verifies the need for items purchased.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Monitors spending.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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