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 .

Change Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Addresses organizational and departmental resistance to changes.
Works cooperatively with others to implement changes.
Is an inspiration for others to accept the recent changes.
Develops plans for following through on the changes.
Effective in dealing with ambiguous and challenging situations.
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
Knows how to produce high quality products/work.
Willingly shares his/her technical expertise; sought out as resource by others
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
Sets high expectations and goals; encourages others to support the organization.
Goal Setting
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves goals.
Establishes and documents goals and objectives.
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.
Adjusts strategic plans based on insights gathered from different points of view.
Identifies root causes of problems.
Works with others to develop insights into the resources and actions required to produce desired results.
Implements long-term 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
Encourages dynamic growth opportunities.
Is comfortable operating in an environment of uncertainty.
Can work effectively in an environment of uncertainty.
Maintains a high level of energy to respond to demands of the job.
Able to adapt the department to changing business demands and climate.
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
Cooperates with others on a global scale.
Attends training seminars and conferences to increase skills in working with others globally.
Can effectively deliver presentations to international clients.
Exemplifies the skills of a global worker.
Applies knowledge of overseas markets.
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.