Change Management - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops plans for following through on the changes.
Fosters an environment of flexibility and adaptability in employees to be able to work through changes.
Listens to employees and encourages dialog during periods of change.
Facilitates change with minimal resistance.
Uses customer feedback to determine the changes needed to maintain profitability.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Knows how to produce high quality products/work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Willingly shares information and expertise; sought out as resource by others
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to work with individuals in the department who have different personalities and working styles.
Adjusts tactics and strategies.
Adapts procedures to meet production goals.
Able to persevere and adapt during periods of hardship.
Implements new rules, procedures, or regulations.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds employees accountable for completing the project successfully.
Accepts personal responsibility for producing high quality and timely work.
Demonstrates a commitment to taking responsibility for actions.
Accepts accountability for their work.
Shows up for work on time.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to express themselves clearly.
Is able to manage their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a good example for others to follow.
Conducts regular performance management sessions.
Holds employees accountable for work assignments.
Successfully mediates conflicts between employees.
Schedules follow up meetings if employee's performance is below average.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Connects experiences, analyzes the facts and spots issues across a wide array of legal and business issues to see patterns and draw conclusions not readily apparent to others.
Seeks to understand where potential problems may occur.
Able to project future data points based on historical data.
Determines if facts are consistent across multiple sources.
Uses analytical thinking to make desirable outcomes more probable.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to respond swiftly to keep the problem-solving process moving forward without unnecessary delays.
Gets buy-in from constituents before implementing solutions.
Understands the root causes of problems.
Weighs the pros and cons of proposed solutions.
Pinpoints the issues that have arisen or are expected to arise.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Forms strategic alliances with firms that specialize in areas that are complementary or help the company.
Seeks to reduce institutional roadblocks to information sharing.
Understands the potential implications of the partnership.
Defines a partnering strategy for identifying and selecting a partner.
Guarantees equitable and fair treatment for all network participants.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Schedules staff based on seasonal needs.
Creates a timeline for events and monitors progress.
Able to develop logistics plans to move material through a multi-step supply chain.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Understands the process for developing strategic plans for the organization.

51. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: