Change Management - 360 Degree Feedback Survey Sample #8

Instructions

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Change Management	Agree	Unsure	Disagree	N/A
Assists others in understanding changes to the organization.
Able to get team members to change their attitudes.
Effective in dealing with ambiguous and challenging situations.
Works cooperatively with others to implement changes.
Develops a strategy for implementing changes.
Commitment To Result	Agree	Unsure	Disagree	N/A
Coordinates all department activities into a cohesive team effort.
Takes immediate action toward goals.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Encourages commitment in others to obtain results.
Able to focus on a task even when working alone.
Objectives	Agree	Unsure	Disagree	N/A
Communicates goals and objectives to employees.
Effectively organizes resources and plans
Ability to establish realistic goals.
Assures [Company] principles are understood, employed & pursued.
Establishes goals and objectives.
Flexibility	Agree	Unsure	Disagree	N/A
Capable of adjusting to necessary modifications in the work environment.
Is flexible to manage uncertain changes in technology.
Embraces uncertainty with confidence and creativity to find solutions amidst chaos.
Fosters a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
Introduces new products or services.
Passion To Learn	Agree	Unsure	Disagree	N/A
Enhances value to the company through additional training and development.
Takes initiative for own learning and development.
Holds self and associates accountable for goal achievement.
Embraces new technology and procedures.
Creates an environment that supports personal development and exploration.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Maintains self-control when personally criticized.
Makes sure that employees understand and identify with the team's mission.
Excellent at managing time.
Helps guide employees with prioritizing tasks.
Sets appropriate goals for employees.
Administrative Skill	Agree	Unsure	Disagree	N/A
Enthusiastic about taking on challenging projects.
High attention to detail.
Implements and uses performance measures.
Takes responsibility for decisions.
Has strong technical/computer skills.
Innovation	Agree	Unsure	Disagree	N/A
Develops effective solutions for viewing problems from a different point of view.
Analyzes current procedures and identifies opportunities for improvement.
Establishes systems of continuous improvement.
Generates innovative and practical solutions.
Searches for opportunities and innovative ways to improve the organization.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Gives good advice and suggestions to coworkers.
Recognizes the contributions of others.
Provides constructive feedback in a way that fosters acceptance and development.
Strives for win/win solutions
Maintains a high degree of honesty and integrity.
Responsible	Agree	Unsure	Disagree	N/A
Responsible for setting the vision of the department.
...takes personal responsibility for results.
Acts as a resource without removing individual responsibility.
Sets a good example.
Sets a good example
Co-worker Development	Agree	Unsure	Disagree	N/A
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Works to identify root causes of performance problems
Strategic Insight	Agree	Unsure	Disagree	N/A
Understands how to strategically grow the business and increase customers.
Strategically aligns projects to the goals of the company.
Identifies root causes of problems.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Attends industry conferences to gain further insight into how other companies deal with similar issues.

61. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.