HR-Survey > 360-Degree Feedback > Competency Model > Change-Management Skills

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)
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.






Change Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I am a leading force driving changes.
  1. You are effective in implementing new organizational vision and values.
  1. You support new initiatives for organizational changes to improve effectiveness.
  1. You work cooperatively with others to implement changes.
  1. You support 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
  1. You assure [Company] principles are understood, employed & pursued.
  1. You communicate goals and objectives to employees.
  1. You are able to establish realistic goals.
  1. You are able to organize work.
  1. You work toward achieving established goals and objectives.
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
  1. You respond to issues and problems with creative solutions and innovation.
  1. You are open to and values diverse perspectives.
  1. I am flexible and resilient in addressing critical incidents.
  1. You face the unknown head-on, turning challenges into opportunities for growth and innovation.
  1. I am versatile and resilient.
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
  1. You are creative and inspirational.
  1. You are creative.
  1. You add value to the department/organization.
  1. You conceive, implement and evaluate ideas.
  1. You develop solutions to challenging problems.
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
  1. You communicate with others without the influence of racism.
  1. I interact effectively with people from different cultural backgrounds.
  1. I am aware of differences in how individuals from other cultures greet one another.
  1. I am aware of cultural differences in business etiquette.
  1. You accept individual differences.
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
  1. You are effective in performing your job.
  1. You have great overall performance
  1. You work effectively in the department.
  1. You effectively organize resources and plans
  1. You produce quality
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
  1. You demonstrate good communication with colleagues and customers.
  1. I promote acceptance of diverse viewpoints from team members.
  1. I am honest about making mistakes and willing to fix them.
  1. You create an atmosphere that supports the open expression of ideas
  1. You recognize the contributions of others.
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
  1. I explore the feasibility of alternative solutions to resolve conflicts.
  1. I attempt to accommodate vital interests of those who felt alienated or suffered injustice.
  1. You facilitate dialog between team members.
  1. I seek to develop a shared understanding of the issues involved.
  1. I identify strategies to prevent the recurrence of issues.
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
  1. I can create effective logistics plans to achieve high operational efficiency.
  1. I can determine the amount of materials/supplies needed for the project.
  1. I can initiate the planning process by defining the scope of the project.
  1. I anticipate the impacts of strategic plans.
  1. I set the appropriate sequence of tasks to ensure completion of the project.
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.