Change Management - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is 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 '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.

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 .

Change Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports new initiatives for organizational changes to improve effectiveness.
Effective in implementing new organizational vision and values.
Works cooperatively with others to implement changes.
Effective in dealing with ambiguous and challenging situations.
Addresses organizational and departmental resistance to 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
Is knowledgeable of procedures or systems necessary for the job.
Knows how to produce high quality products/work.
Willingly shares his/her technical expertise; sought out as resource by others
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.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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
Establishes and documents goals and objectives.
Achieves goals.
Achieves established goals.
Makes sure that I have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
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
Implements long-term solutions to problems.
Identifies root causes of problems.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Formulates policies and strategies for addressing the Company's important challenges.
Anticipates business cycles and trends and makes adjustments in a timely manner.
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
Takes the initiative to complete tasks.
Maintains a high level of energy to respond to demands of the job.
Is comfortable operating in an environment of uncertainty.
Seeks and utilizes mentors to help guide professional development.
Encourages dynamic growth 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
Demonstrates working knowledge of global transactions.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Cooperates with others on a global scale.
Can effectively deliver presentations to international clients.
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.