Change Management - 360 Degree Feedback Survey Sample #2

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.

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 and . The survey will only be available during these dates.

Change Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adopts changes to set and example for others to follow.
Effective in dealing with ambiguous and challenging situations.
Works cooperatively with others to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Effective in implementing new organizational vision and values.
What are your suggestions for how can make improvements in Change Management?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates ideas and facts clearly and effectively in writing.
Checks details thoroughly.
Attends to the important details of a job or task.
Avoids creating ambiguity or mixed messages.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
What are your suggestions for how can make improvements in Clarity?
Communication Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Listens to others' points of view with an open mind
Asks follow-up questions as needed.
Communicates effectively with colleagues and customers
What are your suggestions for how can make improvements in Communication Skills?
Punctuality	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Maintains an efficient schedule of activities.
Responds to requests for information in a timely manner.
Avoids making personal phone calls during working hours.
Arrives to meetings on time.
Starts meetings on time.
What are your suggestions for how can make improvements in Punctuality?
Leadership	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Gives direct, constructive, and actionable feedback.
Takes ownership and accountability for results
Effectively leads others.
Demonstrates leadership and courage in critical situations.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
What are your suggestions for how can make improvements in Leadership?
Decision Making	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Asks for additional information when making critical decisions.
Does not lose sight of the big picture when making decisions
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Exercises good judgment by making sound and informed decisions.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
What are your suggestions for how can make improvements in Decision Making?
Innovation	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Implements best practices within the department.
Analyzes current procedures and identifies opportunities for improvement.
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
Offers constructive improvements to existing systems.
What are your suggestions for how can make improvements in Innovation?
Managing Risk	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Able to adapt quickly to changing situations.
Recognizes that small changes may snowball into major events.
Seeks to maintain the long-term viability of the Company.
Knows how to obtain desired results with minimal losses.
Bases decisions on patterns found in fluid/changing information.
What are your suggestions for how can make improvements in Managing Risk?
Interpersonal Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is open and approachable
Is a role model for others
Anticipates the concerns of other employees.
Provides constructive feedback in a way that fosters acceptance and development.
Strives for win/win solutions
What are your suggestions for how can make improvements in Interpersonal Skills?
Developing Others	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Recognizes and celebrates accomplishments of others.
Assesses employees' developmental needs.
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
What are your suggestions for how can make improvements in Developing Others?
Coaching	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
What are your suggestions for how can make improvements in Coaching?
Global Perspective	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Accepts setbacks and challenges in foreign markets as improvement opportunities
Applies knowledge of overseas markets.
Demonstrates working knowledge of global transactions.
Analyzes global issues/problems that are having a large impact on the Company.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
What are your suggestions for how can make improvements in Global Perspective?

61. Strengths
    
    
    
62. Areas for Development
    
    
    
63. Please give any final comments or suggestions for 's assessment.