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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)
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)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. 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
Sample Result Document:
Sample Results
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 this a great company.

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



Edit this Survey
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Change Management

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Seldom
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  1. I develop strategies for implementing changes.
  1. I am a leading force driving changes.
  1. I inspire others to want to change.
  1. You address organizational and departmental resistance to changes.
  1. You work cooperatively with others to implement changes.
Please feel free to provide any comments to help explain your answers?

Objectives

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  1. You are able to establish realistic goals.
  1. You assure [Company] principles are understood, employed & pursued.
  1. You encourage others to take on greater responsibility.
  1. You set long-term and short-term goals.
  1. You organize and schedules events, activities, and resources.
Please feel free to provide any comments to help explain your answers?

Flexibility

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  1. I ensure that each employee's unique learning style is accommodated, which maximizes the effectiveness of the training.
  1. You experiment with new ideas to create innovative solutions to issues.
  1. You consider other solutions provided by employees.
  1. You actively seek out new knowledge, staying updated with industry trends, and are open to changing the workflow based on the situation.
  1. I adapt to different settings, tasks, and challenges with ease.
Please feel free to provide any comments to help explain your answers?

Creativity

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  1. You add value to the department/organization.
  1. You inspire creativity in your team.
  1. You are creative.
  1. You create a lot of new ideas.
  1. You develop solutions to challenging problems.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

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  1. I recognize individual and cultural differences.
  1. You understand how implicit biases can affect decisions, communication and productivity.
  1. I am effective in working with individuals with a variety of cultural backgrounds.
  1. I seek to reduce obstacles in communication that might arise from cultural differences.
  1. I am aware of cultural differences in business etiquette.
Please feel free to provide any comments to help explain your answers?

Performance

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  1. You work effectively in the department.
  1. You work well in this position.
  1. You listen and respond to issues and problems
  1. You are effective in performing your job.
  1. You set a high standard for job performance.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

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  1. You provide constructive feedback in a way that fosters acceptance and development.
  1. You strive for win/win solutions
  1. You understand the core issues of conversations.
  1. You demonstrate compassion and understanding of others.
  1. You successfully resolve conflicts and grievances to a win-win solution.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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  1. You try to understand others' point of view before making judgments
  1. I possess the necessary skills to manage conflict and relationships.
  1. I seek to avert the recurrence of conflict issues.
  1. I help to maintain dignity of all persons involved.
  1. You settle disputes resulting in a win-win for both parties.
Please feel free to provide any comments to help explain your answers?

Planning

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  1. I create plans to handle complex, multi-faceted projects.
  1. You plan for future staffing needs.
  1. You regularly make plans for contingencies.
  1. I know how to create effective project plans.
  1. I plan for how to allocate time to specific activities.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.