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.

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. You are effective in implementing new organizational vision and values.
  1. You adopt changes to set and example for others to follow.
  1. You support new initiatives for organizational changes to improve effectiveness.
  1. You are effective in dealing with ambiguous and challenging situations.
  1. You assist others in understanding changes to the organization.
Please feel free to provide any comments to help explain your answers?

Objectives

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 encourage others to take on greater responsibility.
  1. You organize and schedules events, activities, and resources.
  1. You communicate goals and objectives to employees.
  1. You work toward achieving established goals and objectives.
  1. You assure [Company] principles are understood, employed & pursued.
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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Exhibits this
Competency
  1. You are able to adapt to new situations.
  1. You are open to the perspectives/viewpoints of others.
  1. You adapt to new organizational structures, policies, or procedures.
  1. You work effectively during periods of change.
  1. You identify new opportunities to achieve goals
Please feel free to provide any comments to help explain your answers?

Creativity

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. You inspire creativity in your team.
  1. You are creative.
  1. You develop solutions to challenging problems.
  1. You add value to the department/organization.
  1. You are creative and inspirational.
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
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Competency
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Exhibits this
Competency
  1. You seek out different viewpoints and benefits from different perspectives.
  1. You value the opinions of diverse groups and individual.
  1. You show respect in daily interactions
  1. You recognize and value individual and cultural differences.
  1. You respect others regardless of age, race, gender, nationality, or disability.
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
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Exhibits this
Competency
  1. You are effective in performing your job.
  1. You are able to organize work.
  1. You listen and respond to issues and problems
  1. You work well in this position.
  1. You shown significant improvement in job performance.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. You build a strong rapport with co-workers.
  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 anticipate the concerns of other employees.
  1. You are a role model for others
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. You deal effectively with employee grievances.
  1. You assist team members by helping them see the other point of view.
  1. You help employees to think through alternative ways to resolve conflict situations.
  1. You identify and takes steps to prevent potential confrontations.
  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
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Competency
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Exhibits this
Competency
  1. You are able to identify the needs of the department before a major change.
  1. You anticipate potential challenges, develops plan to overcome them and then carries out the plan.
  1. You are able to look ahead (beyond the present) when addressing the work/needs of the department.
  1. You work in an organized manner
  1. You anticipate obstacles and ways to overcome them.
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.