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
Inspires others to accept changes.
Able to get team members to change their attitudes.
Effective in implementing new organizational vision and values.
Adopts changes to set and example for others to follow.
Supports the Company's efforts to implement changes.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Knows how to produce high quality products/work.
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares information and expertise; sought out as resource by others
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.
Willingly shares his/her technical expertise; sought out as resource by others
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops insights and applies innovative solutions to projects and problems.
Adjusts tactics and strategies.
Adapts to diversity within the team.
Is open to new ideas and innovations.
Will stop what they are doing to help colleagues in need.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes who is responsible for various aspects of the project.
Informs the supervisor if progress on the task has been delayed.
Commits to leading the initiatives to solving critical issues.
Maintains honesty and transparency in all communications.
Works to achieve established goals.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Listens to the concerns of employees.
Maintains disciplinary policy and fair enforcement of work rules
Speaks to all employees involved to get a complete picture of the situation.
Is aware of the unique strengths of each employee.
Determines the training and development needs of employees and staff.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements data validation techniques and methods.
Analyzes data and information from several sources and arrives at logical conclusions.
Uses appropriate techniques to solve problems.
Asks the "right" questions to size up or evaluate situations.
Analyzes issues and reduces them to their component parts.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a good problem solver and decision maker
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Solves problems using logic and insight.
Generates alternative solutions to problems and challenges.
Able to balance the needs of different people in a solution to a problem.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks opportunities to collaborate across organizational boundaries.
Actively listens to understand different perspectives and identify common interests.
Actively prevents conflicts by identifying issues early and resolving them promptly.
Establishes appropriate monitoring of activities in the network.
Attends industry conferences and seminars to meet new contacts and learn from industry leaders.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is good at planning for the "unexpected".
Develops good plans used for logistics.
Plans for future staffing needs.
Ensures everyone in the department is onboard with the current plan.
Understands what materials will be required to successfully implement the plan.

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: