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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. Effective in dealing with ambiguous and challenging situations.
  1. Adopts changes to set and example for others to follow.
  1. Addresses organizational and departmental resistance to changes.
  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. Communicates with clarity and efficiency.
  1. Avoids stating unclear or conflicting goals.
  1. Checks details thoroughly.
  1. Clarifies problems and their causes to help employees correct them.
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. Delivers effective public presentations.
  1. Delivers difficult messages to co-workers in an appropriate manner
  1. Communicates crucial information to others.
  1. Explains reasons behind decisions and actions.
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. Maintains an efficient schedule of activities.
  1. Starts the workday when scheduled.
  1. Starts meetings on time.
  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. Is a leader within the department.
  1. Finds creative ways to reward employees for hard work.
  1. Demonstrates effective leadership talent and skills
  1. Guides decision-making by coaching, counseling and rewarding.
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. Is confident in their actions.
  1. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
  1. Has enough self-control to avoid making impulsive decisions.
  1. Exercises good judgment by making sound and informed decisions.
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. Ensures that employees feel safe to take risks and experiment without the fear of failure or retribution.
  1. Creates new and efficient processes.
  1. Offers continuous learning opportunities to enhance technical skills and innovative thinking.
  1. Champions changes within the organization.
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. Ensures all components of risk management are in place.
  1. Outlines the risk management framework including responsibilities, description of the process, and guidance on evaluating risk criteria and appropriate risk responses.
  1. Uses risk management to make better strategic decisions.
  1. Seeks to reduce uncertainty (risks) in the supply chain.
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. Recognizes when others do a good job.
  1. Gives honest feedback and suggestions for improvement.
  1. Promotes acceptance of diverse viewpoints from team members.
  1. Strives for win/win solutions
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. Recognizes and celebrates accomplishments of others.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Encourages employees through recognition of positive changes in behavior.
  1. Supports the successes of other employees.
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. Helps employees to understand responsibilities, authority, and expectations.
  1. Provides clear, motivating, and constructive feedback.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Helps employees to maintain high personal standards.
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 and appreciates the perspectives offered by others with different cultural backgrounds.
  1. Is aware of the culture, behaviors, identities and beliefs of others.
  1. Cooperates with others on a global scale.
  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.