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.
Facilitates change with minimal resistance.
Is an inspiration for others to accept the recent 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
Maintains persistence and dedication to achieving results.
Committed to the team.
Encourages commitment in others to obtain results.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Objectives	Agree	Unsure	Disagree	N/A
Sets long-term and short-term goals.
Establishes goals and objectives.
Communicates goals and objectives to employees.
Assures [Company] principles are understood, employed & pursued.
Ability to establish realistic goals.
Flexibility	Agree	Unsure	Disagree	N/A
Able to adapt to new situations.
Effective in incorporating new ideas.
Adapts to new organizational structures, policies, or procedures.
Open to the perspectives/viewpoints of others.
Acts decisively in frequently changing and uncertain environment.
Passion To Learn	Agree	Unsure	Disagree	N/A
Is open minded and curious about learning new skills.
Creates an environment that supports personal development and exploration.
Demonstrates through personal behavior the commitment to high standards of performance.
Enjoys learning new skills and techniques.
Exhibits willingness to upgrade skills through additional training and education.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Excellent at managing time.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand and identify with the team's mission.
Maintains focus when handling several problems or tasks simultaneously.
Functions well under stress, deadlines, and/or significant workloads.
Administrative Skill	Agree	Unsure	Disagree	N/A
Completes reports on-time.
Takes responsibility for decisions.
Accurately implements contract provisions.
Has strong technical/computer skills.
High attention to detail.
Innovation	Agree	Unsure	Disagree	N/A
Creates a safe environment for idea-sharing.
Analyzes current procedures and identifies opportunities for improvement.
Implements best practices within the department.
Takes risks to advance important ideas.
Solves problems with insight and understanding.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Gives credit where credit is due.
Gives constructive feedback on performance reviews.
Is a committed and reliable partner.
Offers constructive criticism to have a positive impact on performance.
Considers the other individual's point of view.
Responsible	Agree	Unsure	Disagree	N/A
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
Sets a good example
Sets high personal standards of performance.
Behavior is ethical and honest.
Co-worker Development	Agree	Unsure	Disagree	N/A
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
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
Inspires employees to adopt the strategic plan.
Converses with customers and clients to get a better insight into their personal needs.
Maintains knowledge of current trends in the industry.
Analyzes records and reports to obtain insight into potential issues and trends.
Formulates policies and strategies for addressing the Company's important challenges.

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.