Change Management - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Thank you for your participation in the survey.

Management Team

Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to get department employees to accept new changes.
Facilitates change with minimal resistance.
Is an inspiration for others to accept the recent changes.
Addresses organizational and departmental resistance to changes.
Able to get team members to change their attitudes.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completes work to a high technical standard
Met required benchmarks for the position.
Is flexible in adjusting priorities to meet the demands of changing situations.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Makes use of talents of others to help achieve a high level of performance.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Avoids stating unclear or conflicting goals.
Seeks to reduce ambiguity in messaging and documents.
Makes sure employees understand why they were given certain assignments.
Is clear about the roles and duties of team members.
Communicates with clarity and efficiency.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to increase safety in the workplace.
Monitors risk events and notifies appropriate stakeholders.
Identifies what actions the organization is willing to take.
Integrates risk management processes, data, and analytics across the company.
Uses financial data to mitigate financial risks.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates an understanding of the other person's interests, needs and concerns.
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes ownership, delivers on commitments
Takes care to maintain confidential information.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps employees to understand responsibilities, authority, and expectations.
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Offers recognition in a timely manner.
Readily shares credit and gives others opportunity for visibility.
Recognizes team members who offer a significant contribution to a project.
Recognizes the abilities and skills of self and others
Says "thank you" to show appreciation for work of others.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Collects valuable customer insights to ensure our services meet their needs.
Periodically assesses the current market environment.
Incorporates innovative approaches and being adaptable to change.
Considers environmental, social, and governance (ESG) factors to ensure the business is sustainable in the long run.
Calculates return on investment (ROI) for various business projects.

41. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.