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)
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.

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. Able to get team members to change their attitudes.
  1. Is a leading force driving changes.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Inspires others to want to change.
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. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Avoids creating ambiguity or mixed messages.
  1. Is clear about the roles and duties of team members.
  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. Confidently communicates across all organizational levels, including external stakeholders.
  1. Able to demonstrate persuasiveness in pursuit of objectives.
  1. Listens attentively and responds thoughtfully, showing they value the conversation.
  1. Clarifies problems logically, simplifying complex matters into digestible parts.
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. Avoids making personal phone calls during working hours.
  1. Starts the workday when scheduled.
  1. Arrives to meetings on time.
  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. Able to increase the performance of under-performing employees.
  1. Expresses clear goals and objectives.
  1. Seeks input and ideas from employees by involving them in decisions.
  1. Provides accurate, timely, and (where appropriate) positive 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. Makes good decisions for the department.
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  1. Recognizes and generates innovative solutions.
  1. Stays focused on the main objective when making 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. Is open to innovative ideas.
  1. Utilizes disruptive innovation to help managers transform conventional business models, making products and services more accessible and affordable.
  1. Ensures employees possess the necessary technical competencies to engage in innovation.
  1. Shows flexibility and willingness to adapt to new approaches and changing market conditions.
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. Establishes the context for risk management activities.
  1. Determines the impact of specific risks on reputation.
  1. Integrates risk management into strategic decision making.
  1. Anticipates the consequences of different potential risk events.
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. Gives credit where credit is due.
  1. Demonstrates positive behaviors for others to follow.
  1. Recognizes the contributions of others.
  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. Supports the successes of other employees.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Sets performance objectives for subordinates that encourages development opportunities.
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. Provides clear, motivating, and constructive feedback.
  1. Develops the skills and capabilities of others.
  1. Conducts regular performance appraisals and feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work 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. Respects individual differences.
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Builds working relationships with others across cultures.
  1. Works well with others from different cultural backgrounds.
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.