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 a leading force driving changes.
Able to get department employees to accept new changes.
Effective in dealing with ambiguous and challenging situations.
Facilitates change with minimal resistance.
Develops a strategy for implementing 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
Demonstrates mastery of the technical competencies required in his/her work.
Seeks information from others as needed.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares information and expertise; sought out as resource by others
Is knowledgeable of procedures or systems necessary for the job.
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
Achieves goals.
Sets high expectations and goals; encourages others to support the organization.
Goal Setting
Establishes and documents goals and objectives.
Makes sure that I have a clear idea of our group's 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
Maintains knowledge of current trends in the industry.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Creates a vision for the organization based on insights gathered from other companies in the industry.
Meets with customers to gain insight into their core needs and how best to serve them.
Inspires employees to adopt the strategic plan.
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
Able to adapt the department to changing business demands and climate.
Encourages risk taking for developing potential business opportunities.
Is comfortable operating in an environment of uncertainty.
Exhibits determination and passion in completion of goals.
Devotes a certain amount of time and effort to developing new business 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
Accepts setbacks and challenges in foreign markets as improvement opportunities
Able to work with others from different cultures and countries.
Facilitates open communication with individuals from other countries.
Attends training seminars and conferences to increase skills in working with others globally.
Forms strong client relationships with international partners.
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.