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
Inspires others to want to change.
Works cooperatively with others to implement 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.
Commitment To Result	Agree	Unsure	Disagree	N/A
Committed to the team.
Coordinates all department activities into a cohesive team effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Able to focus on a task even when working alone.
Encourages commitment in others to obtain results.
Objectives	Agree	Unsure	Disagree	N/A
Consistently provides me with timely feedback for improving my performance.
Assures [Company] principles are understood, employed & pursued.
Organizes and schedules events, activities, and resources.
Ability to establish realistic goals.
Communicates goals and objectives to employees.
Flexibility	Agree	Unsure	Disagree	N/A
Adapts processes and procedures in response to changes in the work environment.
Capable of adapting workflows to accommodate new regulations or policies.
Performs more and varried processes on the production line.
Adapts quickly to new technologies that impact the production line.
Scales up production capabilities in response to growing service demands.
Passion To Learn	Agree	Unsure	Disagree	N/A
Is committed to enhancing their own knowledge and skills.
Is open to feedback from others.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Demonstrates through personal behavior the commitment to high standards of performance.
Constantly enhances product knowledge through experimentation and play.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Helps guide employees with prioritizing tasks.
Stays focused even when under pressure and stress.
Functions well under stress, deadlines, and/or significant workloads.
Excellent at managing time.
Maintains self-control when personally criticized.
Administrative Skill	Agree	Unsure	Disagree	N/A
High attention to detail.
Able to develop, justify and present a budget.
Takes responsibility for decisions.
Has strong technical/computer skills.
Strong organizational skills to keep the workspace and department in order
Innovation	Agree	Unsure	Disagree	N/A
Challenges current procedures to develop other alternatives.
Fosters a creative and innovative work environment.
Solves problems with insight and understanding.
Encourages open communication to ensure that all proposals are considered.
Analyzes current procedures and identifies opportunities for improvement.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Addresses critical customer issues in a timely manner.
Offers constructive criticism to have a positive impact on performance.
Is trusted by peers and co-workers; others are willing to confide in him/her
Takes time to recognize the efforts of others.
A good listener who is attentive to others.
Responsible	Agree	Unsure	Disagree	N/A
Works in a way that makes others want to work with her/him.
Sets a good example
Responsible for setting the vision of the department.
Sets a good example.
Holds herself / himself accountable to goals / objectives
Co-worker Development	Agree	Unsure	Disagree	N/A
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Provides ongoing feedback to co-workers on their development progress
Gives others development opportunities through project assignments and increased job responsibilities
Strategic Insight	Agree	Unsure	Disagree	N/A
Ensures that the department's goals are strategically aligned with the company's goals.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Analyzes unique issues or problems impacting the Company.
Analyzes records and reports to obtain insight into potential issues and trends.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.

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.