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
Resolves internal political issues that may impact the changes.
Offers training, resources, and encouragement to help employees adapt and succeed in the new environment.
Solicits feedback from those impacted by the changes.
Develops a proactive strategy to manage changes happening in the business environment.
Plans and initiates effective departmental and organizational 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 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.
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.
Seeks information from others as needed.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
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
Sets clear priorities, creates a distraction-free environment, and employs effective time management strategies to achieve goals.
Sets objectives that push boundaries yet remain achievable to foster growth and motivation.
Measures progress using metrics like tasks completed, milestones achieved, or hourly output.
Recognizes each person's strengths and needs to foster a collaborative environment for achieving shared goals.
Encourages coworkers to attain team 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
Converses with customers and clients to get a better insight into their personal needs.
Uses knowledge, benchmarking and performance metrics to evaluate strategic effectiveness and identify areas for improvement.
Demonstrates knowledge of organizational history, values, and long-term goals when making strategic recommendations.
Notices inefficiencies or bottlenecks in workflows before they escalate into larger issues.
Creates a mission statement describing the purpose for the organization.
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.
Encourages risk taking for developing potential business opportunities.
Finds unique ways to go around barriers to success.
Has a strategic awareness on how to promote the organization.
Is comfortable operating 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
Attends training seminars and conferences to increase skills in working with others globally.
Sets the example for team on importance of cultural awareness.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Works well with others from different cultural backgrounds.
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.