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. Develops a strategy for implementing changes.
  1. Is a leading force driving changes.
  1. Supports new initiatives for organizational changes to improve effectiveness.
  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. Adjusts communication methods to the needs of the audience.
  1. Avoids creating ambiguity or mixed messages.
  1. Clarifies problems and their causes to help employees correct them.
  1. Makes sure employees understand why they were given certain assignments.
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. Uses correct spelling, grammar and punctuation.
  1. Communicates with department leadership
  1. Reports are clear and persuasive.
  1. Receives and answers questions - on the spot. S/he has a willingness to address the tough questions.
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. Invoices clients on a timely basis.
  1. Avoids making personal phone calls during working hours.
  1. Arrives to meetings on time.
  1. Responds to requests for information in a timely manner.
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. Recognizes individual and team accomplishments and reward them appropriately.
  1. Highly effective supervisor.
  1. Leads team to set goals, solve problems, and accomplish tasks.
  1. Holds team members accountable to commitments made
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. Effectively chooses appropriate courses of action.
  1. Understands how their decisions will affect others.
  1. Performs a cost/benefit analysis before making a decision.
  1. Makes decisions that support the department's goals and objectives.
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. Suggests new ideas at meetings.
  1. Takes risks to advance important ideas.
  1. Creates innovative methods of developing business opportunities.
  1. Implements best practices within the department.
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. Identifies what actions the organization is willing to take.
  1. Uses financial data to mitigate financial risks.
  1. Works effectively to transfers risk.
  1. Identifies opportunities that may be created by taking specific risks.
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. Demonstrates good communication with colleagues and customers.
  1. Follows up on inquiries in a timely manner.
  1. Gives honest feedback and suggestions for improvement.
  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. Sets performance objectives for subordinates that encourages development opportunities.
  1. Tries to ensure employees are ready to move to the next level.
  1. Supports the successes of other employees.
  1. Creates opportunities for professional development.
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. Addresses employee behavior problems effectively.
  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. Engages in problem solving with individuals outside of the country.
  1. Attends training seminars and conferences to increase skills in working with others globally.
  1. Able to work with others from different cultures and countries.
  1. Facilitates open communication with individuals from other countries.
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.