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
Is a leading force driving changes.
Is an inspiration for others to accept the recent changes.
Supports the Company's efforts to implement changes.
Effective in implementing new organizational vision and values.
Adopts changes to set and example for others to follow.
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
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares information and expertise; sought out as resource by others
Willingly shares his/her technical expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
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
Makes sure that team members have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Establishes and documents goals and objectives.
Goal Setting
Achieves established 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
Anticipates business cycles and trends and makes adjustments in a timely manner.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Identifies root causes of problems.
Creates a mission statement describing the purpose for the organization.
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
Maintains a high level of energy to respond to demands of the job.
Exhibits determination and passion in completion of goals.
Has a strategic awareness on how to promote the organization.
Excellent at managing relationships with stakeholders.
Balances risks and rewards when making decisions.
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.
Respects individual differences.
Analyzes global issues/problems that are having a large impact on the Company.
Demonstrates a curiosity about diverse individuals and cultures.
Sets the example for team on importance of cultural awareness.
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.