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
Is an inspiration for others to accept the recent changes.
Effective in implementing new organizational vision and values.
Adopts changes to set and example for others to follow.
Able to get department employees to accept new changes.
Able to get team members to change their attitudes.
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
Willingly shares information and expertise; sought out as resource by others
Is knowledgeable of procedures or systems necessary for the job.
Seeks information from others as needed.
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.
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
Makes sure that I have a clear idea of our group's goals.
Makes sure that team members have a clear idea of our group's goals.
Goal Setting
Establishes and documents goals and objectives.
Achieves 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
Identifies potential problems before they become critical incidents.
Identifies root causes of problems.
Creates strategies that significantly benefit the Company.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
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
Is comfortable operating in an environment of uncertainty.
Devotes a certain amount of time and effort to developing new business opportunities.
Finds unique ways to go around barriers to success.
Excellent at managing relationships with stakeholders.
Can work effectively in an environment of uncertainty.
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
Volunteers for experiences and assignments abroad.
Exemplifies the skills of a global worker.
Demonstrates working knowledge of global transactions.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Accepts setbacks and challenges in foreign markets as improvement opportunities
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.