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Change Management - 360 Degree Feedback Survey Sample #2





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

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 and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Change Management, Clarity, Communication Skills, Punctuality, Leadership, Decision Making, Innovation, Managing Risk, Interpersonal Skills, Developing Others, Coaching, Global Perspective
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 between . The survey will only be available during these dates.
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Change Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is a leading force driving changes.
  1. Inspires others to accept changes.
  1. Effective in implementing new organizational vision and values.
  1. Able to get department employees to accept new changes.
What are your suggestions for how [Participant Name] can make improvements
in Change Management?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Clearly explains responsibilities to individuals.
  1. Provides a clear vision for the future.
  1. Uses appropriate grammar and tense in communications.
  1. Adjusts communication methods to the needs of the audience.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Facilitates seamless communication across all management levels.
  1. Implements performance appraisals focused on employee development using SMART criteria
  1. Keeps open and regular communication with others.
  1. Communicates company/market changes to appropriate team members in a timely manner
What are your suggestions for how [Participant Name] can make improvements
in Communication Skills?

Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Arrives to meetings on time.
  1. Avoids making personal phone calls during working hours.
  1. Maintains an efficient schedule of activities.
  1. Invoices clients on a timely basis.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Motivates and challenges employees to attain a shared vision.
  1. Recognizes individual and team accomplishments and reward them appropriately.
  1. Communicates calmly and honestly even when stressed.
  1. Leads team to set goals, solve problems, and accomplish tasks.
What are your suggestions for how [Participant Name] can make improvements
in Leadership?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Asks for additional information when making critical decisions.
  1. Makes decisions independently (without having to be told what or how).
  1. Effectively chooses appropriate courses of action.
  1. Gathers information before making a decision.
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Challenges current procedures to develop other alternatives.
  1. Encourages a search for radical innovation opportunities to obtain major breakthroughs.
  1. Encourages a diverse range of ideas and perspectives to cultivate an environment where innovation thrives.
  1. Keeps an open mind towards innovative concepts ensuring managers are continuously exploring potential growth avenues.
What are your suggestions for how [Participant Name] can make improvements
in Innovation?

Managing Risk

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops policies to address risk situations in the workplace.
  1. Is concerned about process safety management.
  1. Recognizes the potential financial impact of specific risks.
  1. Understands how to meet regulatory compliance.
What are your suggestions for how [Participant Name] can make improvements
in Managing Risk?

Interpersonal Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is willing to lend a hand to those in the department who need help.
  1. Creates diverse teams of individuals with different backgrounds, skills, and abilities.
  1. Honest about owning up to mistakes made.
  1. Pays close attention to what is being communicated verbally and nonverbally.
What are your suggestions for how [Participant Name] can make improvements
in Interpersonal Skills?

Developing Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Tries to ensure employees are ready to move to the next level.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Assesses employees' developmental needs.
  1. Provides constructive feedback to others.
What are your suggestions for how [Participant Name] can make improvements
in Developing Others?

Coaching

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops the skills and capabilities of others.
  1. Helps employees to maintain high personal standards.
  1. Provides clear, motivating, and constructive feedback.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
What are your suggestions for how [Participant Name] can make improvements
in Coaching?

Global Perspective

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Is aware of the culture, behaviors, identities and beliefs of others.
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
What are your suggestions for how [Participant Name] can make improvements
in Global Perspective?


  1. Strengths


  2. Areas for Development


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