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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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Competency
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  1. You assist others in understanding changes to the organization.
  1. I introduce structural changes to the team/department.
  1. I create a sense of urgency around the need for changes.
  1. You monitor and assess the changes.
  1. I communicate a vision for the future.
Please feel free to provide any comments to help explain your answers?

Objectives

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  1. You establish goals and objectives.
  1. You are able to establish realistic goals.
  1. You organize and schedules events, activities, and resources.
  1. You work toward achieving established goals and objectives.
  1. You communicate goals and objectives to employees.
Please feel free to provide any comments to help explain your answers?

Flexibility

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  1. I am flexible to manage uncertain changes in technology.
  1. You are able to maintain productivity and effectiveness no matter the context.
  1. You are willing to try new approaches to solving problems if the current solution isn't working.
  1. You are flexible in adjusting to the demands of the market place.
  1. I foster an inclusive learning environment where everyone feels supported, ultimately leading to stronger team cohesion and increased productivity.
Please feel free to provide any comments to help explain your answers?

Creativity

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  1. You scan the external environment for creative practices and emerging trends.
  1. You give employees a sense of security that their ideas will be supported.
  1. I create feasible solutions to problems.
  1. I drive innovation by integrate perspectives from multiple teams.
  1. I imagine new products, services, or process before they're needed.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

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  1. You foster a diverse workforce free from discrimination and harassment.
  1. I tailor solutions to accommodate diverse cultural needs and expectations.
  1. You demonstrate humility when learning about unfamiliar cultural customs or beliefs.
  1. I promote culturally respectful partnerships with external stakeholders and global teams.
  1. I seek clarification to avoid misunderstandings.
Please feel free to provide any comments to help explain your answers?

Performance

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  1. You shown significant improvement in job performance.
  1. You effectively organize resources and plans
  1. You are able to organize work.
  1. You listen and respond to issues and problems
  1. You work well in this position.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

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  1. I keep commitments made with coworkers.
  1. You see value in the diversity of individuals on the team.
  1. You are a role model for others demonstrating the importance of interpersonal skills.
  1. You build a strong rapport with co-workers.
  1. I am honest about making mistakes and willing to fix them.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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  1. I seeks to have both sides voluntarily work together to resolve their differences.
  1. I ensure role clarity during high-stress situations, preventing overlap or confusion that can intensify conflict
  1. I work to reduce misunderstandings and poor communication.
  1. I empower employees to take ownership of conflict outcomes, fostering a sense of agency and continuous improvement.
  1. I persuade individuals to alter their underlying work behaviors which may have led to the conflict.
Please feel free to provide any comments to help explain your answers?

Planning

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  1. You determine what supplies/equipment will be needed for the department.
  1. I divide complex tasks into smaller steps to measure progress toward a goal.
  1. I can reorder the schedule of events to maximize attendance/efficiency.
  1. You anticipate potential challenges, develops plan to overcome them and then carries out the plan.
  1. You work in an organized manner
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.