Change Management - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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
Effective in dealing with ambiguous and challenging situations.
Adopts changes to set and example for others to follow.
Works cooperatively with others to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Assists others in understanding changes to the organization.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Knows how to produce high quality products/work.
Willingly shares his/her technical expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Is knowledgeable of procedures or systems necessary for the job.
Demonstrates mastery of the technical competencies required in his/her work.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops insights and applies innovative solutions to projects and problems.
Recognizes and implements changes to enhance efficiency and effectiveness.
Is flexible and open minded in dealing with others.
Flexible and open to new ideas and encourages others to value change.
Able to quickly learn new ways of performing their job.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts like an owner when they make decisions.
Can be counted on to do what they say they are going to do.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Defines roles, rights, and responsibilities of employees.
Takes responsibility for results.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Resolves personnel problems quickly and effectively.
Provides constructive, ongoing feedback.
Treats all staff equitably.
Maintains good working relationships with employees.
Appropriately recognizes and rewards employees.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively seeks constructive feedback from others.
Can effectively interpret and analyze data.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies the root cause of a problem.
Uses appropriate techniques to solve problems.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to balance the needs of different people in a solution to a problem.
Works cooperatively with others to solve problems.
Ability to solve problems at root cause rather than at symptom level.
Ability to develop innovative solutions to problems.
Solves problems using logic and insight.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to reduce institutional roadblocks to information sharing.
Maintains infrastructure to support partnerships and networks.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Supports and encourages relationships that are created by diverse team members.
Seeks an understanding of diverse functions within the Company.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Makes plans and follows through.
Anticipates obstacles and ways to overcome them.
Works in an organized manner

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: