hr-survey.com

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)
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.

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. You support the Company's efforts to implement changes.
  1. You work cooperatively with others to implement changes.
  1. You are effective in dealing with ambiguous and challenging situations.
  1. I am able to get team members to change their attitudes.
  1. You adopt changes to set and example for others to follow.
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
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Competency
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Competency
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Competency
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  1. You communicate goals and objectives to employees.
  1. You assure [Company] principles are understood, employed & pursued.
  1. You are able to organize work.
  1. You consistently provide me with timely feedback for improving my performance.
  1. You effectively organize resources and plans
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. You are willing to try new ideas.
  1. You can handle changes without complaining.
  1. You adapt to new organizational structures, policies, or procedures.
  1. You adapt to circumstances as needed.
  1. You are able to adapt to new situations.
Please feel free to provide any comments to help explain your answers?

Creativity

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. You add value to the department/organization.
  1. You develop solutions to challenging problems.
  1. You create a lot of new ideas.
  1. You are creative.
  1. You conceive, implement and evaluate ideas.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. I actively listen to other employees' stories about their culture.
  1. You support and mentor others that may have different cultural backgrounds.
  1. You treat others with dignity and respect.
  1. I am effective in working with individuals with a variety of cultural backgrounds.
  1. You avoid referring to stereotypes about others from different cultures.
Please feel free to provide any comments to help explain your answers?

Performance

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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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 work well in this position.
  1. You effectively organize resources and plans
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. You are open and approachable
  1. You are trusted by peers and co-workers; others are willing to confide in him/her
  1. You express appreciation of other's work.
  1. You adapt management style to meet the needs of the individual or situation.
  1. You are a role model for others
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. You try to understand others' point of view before making judgments
  1. You help employees to think through alternative ways to resolve conflict situations.
  1. You clearly express expectations to others.
  1. You assist team members by helping them see the other point of view.
  1. You discuss conflict situations with supervisor.
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
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Exhibits this
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  1. You create to-do lists to make sure nothing is missed.
  1. I am good at planning for the "unexpected".
  1. I can initiate the planning process by defining the scope of the project.
  1. I develop strategic plans for the company/organization.
  1. You set the appropriate sequence of tasks to efficiently achieve the goal.
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.