hr-survey.com

Change Management - 360 Degree Feedback Survey Sample #6





360-Degree Assessment Survey

Questionnaires Measuring Change Management:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others. A report will be shared with you at the conclusion of this project.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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



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Change Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. You are effective in dealing with ambiguous and challenging situations.
  1. I am able to get department employees to accept new changes.
  1. You work cooperatively with others to implement changes.
  1. You assist others in understanding changes to the organization.
  1. You support the Company's efforts to implement changes.


Juggling Multiple Responsibilities

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. You determine which tasks are critical and which tasks are optional.
  1. You switch attention to more urgent tasks when necessary.
  1. You assign tasks based on skills of team members.
  1. You rank the importance of tasks to make sure critical tasks are completed first.


Managing Risk

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. You use data from the purchasing department to anticipate possible supply chain risks.
  1. You track and monitors incidents that may increase the risk of adverse consequences.
  1. I decide what actions will be taken.
  1. You develop policies to address risk situations in the workplace.
  1. I am responsible for regulatory, strategic, operational and project risk management.


Safety

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. You develop safety guidelines for the department.
  1. You support our company's safety programs.
  1. You participate in safety training as applicable.
  1. You keep accurate safety records.
  1. You mitigate hazards and safety issues that arise.


Interpersonal Skills

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. You successfully resolve conflicts and grievances to a win-win solution.
  1. You build a strong rapport with co-workers.
  1. I am willing to overlook personal differences and focus on completing the task at hand.
  1. You are honest about owning up to mistakes made.
  1. I promote acceptance of diverse viewpoints from team members.


Integrity

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. You develop trust and confidence from others.
  1. You follow tasks to completion.
  1. You establish relationships of trust, honesty, fairness, and integrity.
  1. You maintain strong relationships with others.
  1. You protect the integrity and confidentiality of information


Feedback

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. You actively seek feedback from others.
  1. You seek feedback to enhance performance.
  1. You accept the views of others.
  1. You are easy to approach with ideas and opinions.
  1. You are open to the suggestions of others.


Client Focus

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. I ensure that commitments made to clients are completed to the client's satisfaction.
  1. I identify opportunities that enhance the client's experience.
  1. You make client's needs a top priority.
  1. I am responsive to client needs.
  1. You give feedback to the client regularly.


Negotiation

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. I establish a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
  1. You are able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
  1. You demonstrate emotional stability to facilitate productive problem-solving and relationship building.
  1. You leverage relationships with others to achieve goals.
  1. You are able to decline bad ideas to avoid making poor decisions.


Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. You work across boundaries within the organization.
  1. You support the efforts of other employees in implementing solutions to problems.
  1. You consistently demonstrate ability and willingness to trust others.
  1. You work effectively with people from other departments.
  1. You are able to see issues from others' perspectives.


Company

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. You follow existing procedures and processes.
  1. You express loyalty and dedication to [Company] in interactions with others.
  1. You impress upon others the important aspects of [Company].
  1. You understand the "basics" as to how [Company] functions/operates.
  1. You attend [Company] gatherings and social events.



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






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.