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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Management Team

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Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops strategic plans to mitigate the negative effects of imminent changes.
Monitors the change process.
Ensures high quality information is used to implement and/or adjust the changes.
Listens to employees and encourages dialog during periods of change.
Inspires others to accept changes.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps moving forward and stays focused on objectives despite setbacks.
Improved the quality of work on the production line.
Moves decisively in high-risk situations to secure long-term achievements.
Follows-up and takes action when goals are not met to ensure better results in the future.
Finds viable solutions despite obstacles.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Avoids creating ambiguity or mixed messages.
Communicates ideas and facts clearly and effectively in writing.
Clearly defines work objectives for employees.
Seeks to reduce ambiguity in messaging and documents.
Attends to the important details of a job or task.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accepts risk as needed.
Adds value to the organization through acceptance of certain risk.
Identifies what actions the organization is willing to take.
Takes calculated risks by effectively recognizing and managing them.
Prioritizes the risks to determine the most pressing needs.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes ownership, delivers on commitments
Builds and maintains the trust of others.
Consistently keeps commitments.
Demonstrates congruence between statements and actions.
Communicates an understanding of the other person's interests, needs and concerns.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Offers guidance and perspective without being prescriptive.
Asks questions to encourage deeper engagement and active participation, helping the employee uncover insights and solutions on their own.
Helps employees achieve high performance.
Provides new ideas and suggestions to stimulate development and growth.
Asks probing, open-ended, or thought-provoking questions to elicit further information and discussion.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Celebrates work anniversaries, project completions, or personal growth achievements as they happen.
Recognizes the abilities and skills of self and others
Uses recognition programs to help advance a specific training initiative.
Ensures that the recognition program is highly visible to the employees.
Creates a "Collaborator Champion" award to promote and recognize teamwork and collaborative efforts by employees.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Calculates return on investment (ROI) for various business projects.
Recognizes trends in underlying data.
Establishes clear, long-term objectives that align with the company's vision and mission.
Understands our competitors and their strengths and weaknesses.
Facilitates creativity and innovation in individuals by helping them understand different aspects of the business.

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.