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)
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.


Change Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works cooperatively with others to implement changes.
  1. Develops plans for following through on the changes.
  1. Facilitates change with minimal resistance.
  1. Is an inspiration for others to accept the recent 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. Maintains clarity in goals and objectives.
  1. Writes clear job descriptions for positions in the organization.
  1. Checks details thoroughly.
  1. Avoids stating unclear or conflicting goals.
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. An effective listener who is responsive to information needs.
  1. Able to use multiple methods of communication.
  1. Delivers difficult messages to co-workers in an appropriate manner
  1. Able to demonstrate persuasiveness in pursuit of objectives.
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. Conducts appointments at scheduled start time.
  1. Invoices clients on a timely basis.
  1. Avoids making personal phone calls during working hours.
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. Inspires, encourages, and guides others toward the vision, mission, and goals.
  1. Consistently follows the Commitments to Communication in dealing with others
  1. Encourages dialogue to clarify decision making and inform staff
  1. Gives direct, constructive, and actionable feedback.
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. Has enough self-control to avoid making impulsive decisions.
  1. Understands how different perspectives can help make better informed decisions.
  1. Is confident in their actions.
  1. Examines for patterns in data to help predict future possibilities.
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. Identifies fresh approaches to solving problems.
  1. Takes risks to advance important ideas.
  1. Creates innovative products or services.
  1. Challenges current procedures to develop other alternatives.
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. Has the knowledge and skills to accurately identify risks in the workplace.
  1. Seeks to maintain the long-term viability of the Company.
  1. Develops policies for risk management.
  1. Committed to implementing rules and procedures to minimize risk.
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. Uses tact, compassion, and sensitivity in interactions with others.
  1. Demonstrates compassion and understanding of others.
  1. Holds team members accountable to commitments made.
  1. Maintains an open and accepting manner.
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. Encourages employees through recognition of positive changes in behavior.
  1. Recognizes and celebrates accomplishments of others.
  1. Creates opportunities for professional development.
  1. Is open to receiving feedback.
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. Conducts regular performance appraisals and feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to maintain high personal standards.
  1. Addresses employee behavior problems effectively.
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. Demonstrates a curiosity about diverse individuals and cultures.
  1. Volunteers for experiences and assignments abroad.
  1. Sets the example for team on importance of cultural awareness.
  1. Applies knowledge of overseas markets.
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.