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
Addresses organizational and departmental resistance to changes.
Supports the Company's efforts to implement changes.
Assists others in understanding changes to the organization.
Effective in implementing new organizational vision and values.
Effective in dealing with ambiguous and challenging situations.
Commitment To Result	Agree	Unsure	Disagree	N/A
Willing to do whatever it takes-not afraid to have to put in extra effort.
Coordinates all department activities into a cohesive team effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Takes immediate action toward goals.
Objectives	Agree	Unsure	Disagree	N/A
Able to organize work.
Establishes goals and objectives.
Effectively organizes resources and plans
Communicates goals and objectives to employees.
Encourages me to take on greater responsibility.
Flexibility	Agree	Unsure	Disagree	N/A
Acts decisively in frequently changing and uncertain environment.
Identifies new opportunities to achieve goals
Effective in incorporating new ideas.
Is open to alternative ways to accomplish goals
Encourages others to adopt new procedures.
Passion To Learn	Agree	Unsure	Disagree	N/A
Takes advantage of training opportunities when they arise.
Demonstrates through personal behavior the commitment to high standards of performance.
Exhibits willingness to upgrade skills through additional training and education.
Holds self and associates accountable for goal achievement.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Functions well under stress, deadlines, and/or significant workloads.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand and identify with the team's mission.
Maintains self-control when personally criticized.
Makes sure that employees understand how their work relates to organizational goals.
Administrative Skill	Agree	Unsure	Disagree	N/A
Strong organizational skills to keep the workspace and department in order
Enthusiastic about taking on challenging projects.
High attention to detail.
Takes responsibility for decisions.
Has strong technical/computer skills.
Innovation	Agree	Unsure	Disagree	N/A
Finds creative ways to get things done with limited resources.
Challenges current procedures to develop other alternatives.
Encourages open communication to ensure that all proposals are considered.
Takes risks to advance important ideas.
Offers constructive improvements to existing systems.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Anticipates the concerns of other employees.
Values the opinions of others.
Applies appropriate communication techniques to the situation.
Effectively manages conflicts by dealing with them directly and immediately
Adapts management style to meet the needs of the individual or situation.
Responsible	Agree	Unsure	Disagree	N/A
Is a person you can trust.
Sets a good example
Sets high personal standards of performance.
Responsible for setting the vision of the department.
...takes personal responsibility for results.
Co-worker Development	Agree	Unsure	Disagree	N/A
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Strategic Insight	Agree	Unsure	Disagree	N/A
Anticipates business cycles and trends and makes adjustments in a timely manner.
Identifies root causes of problems.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Formulates policies and strategies for addressing the Company's important challenges.
Analyzes records and reports to obtain insight into potential issues and trends.

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.