Change Management - 360 Degree Feedback Survey Sample #3

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)

Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Change Management, Objectives, Flexibility, Creativity, Cultural Awareness, Performance, Interpersonal Skills, Conflict Management, Planning

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make a great company.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Change Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Supports new initiatives for organizational changes to improve effectiveness.
Addresses organizational and departmental resistance to changes.
Assists others in understanding changes to the organization.
Adopts changes to set and example for others to follow.
Supports the Company's efforts to implement changes.
Please feel free to provide any comments to help explain your answers?

Objectives	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works toward achieving established goals and objectives.
Establishes goals and objectives.
Communicates goals and objectives to employees.
Ability to establish realistic goals.
Organizes and schedules events, activities, and resources.
Please feel free to provide any comments to help explain your answers?

Flexibility	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Encourages others to adopt new procedures.
Implements changes as a result of having listened to employees
Effective in incorporating new ideas.
Can handle changes without complaining.
Acts decisively in frequently changing and uncertain environment.
Please feel free to provide any comments to help explain your answers?

Creativity	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is creative and inspirational.
Adds value to the department/organization.
Is creative.
Inspires creativity in their team.
Creates a lot of new ideas.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Recognizes and values individual and cultural differences.
Fosters a diverse workforce free from discrimination and harassment.
Seeks out different viewpoints and benefits from different perspectives.
Treats others with dignity and respect.
Shows respect in daily interactions
Please feel free to provide any comments to help explain your answers?

Performance	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
...Produce Quality
Listens and responds to issues and problems
Has great overall performance
Works effectively in the department.
Works well in this position.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Adapts management style to meet the needs of the individual or situation.
Is open and approachable
Uses tact, compassion, and sensitivity in interactions with others.
Successfully resolves conflicts and grievances to a win-win solution.
Provides constructive feedback in a way that fosters acceptance and development.
Please feel free to provide any comments to help explain your answers?

Conflict Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Identifies and takes steps to prevent potential confrontations.
Deals effectively with employee grievances.
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
Please feel free to provide any comments to help explain your answers?

Planning	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Works in an organized manner
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Delegates role to team members to accomplish goals.
Able to identify the needs of the department before a major change.
Please feel free to provide any comments to help explain your answers?