Change Management - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Change Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Effective in dealing with ambiguous and challenging situations.
Supports new initiatives for organizational changes to improve effectiveness.
Effective in implementing new organizational vision and values.
Inspires others to want to change.
Supports the Company's efforts to implement changes.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Technical	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Demonstrates mastery of the technical competencies required in his/her work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Knows how to produce high quality products/work.
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.
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?
Goals	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Goal Setting
Establishes and documents goals and objectives.
Understands & contributes to development of strategic goals.
Achieves established goals.
Makes sure that I have a clear idea of our group's goals.
If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?
Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Observes employees at work to get better insight into the issues they are dealing with.
Creates strategies that significantly benefit the Company.
Identifies potential problems before they become critical incidents.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Recognizes the needs of customers.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Balances risks and rewards when making decisions.
Is comfortable operating in an environment of uncertainty.
Understands the processes and various stages of business development.
Encourages dynamic growth opportunities.
Encourages risk taking for developing potential business opportunities.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Understands global systems such as the global economy.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Able to work with others from different cultures and countries.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.