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
Effective in dealing with ambiguous and challenging situations.
Develops plans for following through on the changes.
Is an inspiration for others to accept the recent changes.
Works cooperatively with others to implement changes.
Adopts changes to set and example for others to follow.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets ambitious standards of performance.
Reduced department expenses by 25 percent.
Establishes stretch goals to advance skills and output.
Takes calculated risks.
Uses established goals and performance measures to keep track of performance.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Communicates with clarity and efficiency.
Writes clear job descriptions for positions in the organization.
Clearly explains responsibilities to individuals.
Clearly defines work objectives for employees.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes the context for risk management activities.
Performs regular risk analyses to minimize adverse outcomes.
Is responsible for regulatory, strategic, operational and project risk management.
Prioritizes risks to act on critical issues first.
Monitors the effectiveness of risk management strategies.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is trustworthy; is someone I can trust.
Builds and maintains the trust of others.
Is a person you can trust.
Takes care to maintain confidential information.
Takes ownership, delivers on commitments
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Meets regularly with employees to coach them on areas that will enhance their performance
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Conducts regular performance appraisals and feedback.
Helps employees to maintain high personal standards.
Addresses employee behavior problems effectively.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes individuals for a specific outstanding achievement.
Makes people around them feel appreciated and valued.
Finds opportunities to recognize others.
Offers recognition in a timely manner.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps informed of current income and expenses.
Anticipates marketplace opportunities and supports speed to market.
Knows how to use financial information to make an impact on the organization.
Considers environmental, social, and governance (ESG) factors to ensure the business is sustainable in the long run.
Applies the knowledge of work processes to influence the achievement of business goals

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.