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
Effective in implementing new organizational vision and values.
Supports the Company's efforts to implement changes.
Develops a strategy for implementing changes.
Works cooperatively with others to implement changes.
Is an inspiration for others to accept the recent changes.
Commitment To Result	Agree	Unsure	Disagree	N/A
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Committed to the team.
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Able to focus on a task even when working alone.
Objectives	Agree	Unsure	Disagree	N/A
Effectively organizes resources and plans
Establishes goals and objectives.
Ability to establish realistic goals.
Able to organize work.
Organizes and schedules events, activities, and resources.
Flexibility	Agree	Unsure	Disagree	N/A
Is able to change their approach to solving a problem based on new information.
Is flexible in processing routine requests.
Performs more and varried processes on the production line.
Demonstrates the ability to think outside the box and adjust as needed.
Is flexible in delivering training content to maximizes the benefits of training but also fosters an inclusive learning environment that can lead to greater team cohesion and productivity.
Passion To Learn	Agree	Unsure	Disagree	N/A
Exhibits willingness to upgrade skills through additional training and education.
Demonstrates through personal behavior the commitment to high standards of performance.
Constantly enhances product knowledge through experimentation and play.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Embraces new technology and procedures.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Aligns the department's goals with the goals of the organization.
Functions well under stress, deadlines, and/or significant workloads.
Maintains self-control when personally criticized.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand how their work relates to organizational goals.
Administrative Skill	Agree	Unsure	Disagree	N/A
High attention to detail.
Enthusiastic about taking on challenging projects.
Completes reports on-time.
Accurately implements contract provisions.
Able to develop, justify and present a budget.
Innovation	Agree	Unsure	Disagree	N/A
Encourages open communication to ensure that all proposals are considered.
Suggests new ideas at meetings.
Solves problems with insight and understanding.
Analyzes current procedures and identifies opportunities for improvement.
Creates improved methods or solutions for meeting goals and objectives.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Strives for win/win solutions
Sees values in the diversity of individuals on the team.
Builds strong relationships with team members.
Successfully resolves conflicts and grievances to a win-win solution.
Communicates initiatives in a clear and actionable manner to employees.
Responsible	Agree	Unsure	Disagree	N/A
Behavior is ethical and honest.
Responsible for setting the vision of the department.
Completes assigned work tasks.
Works in a way that makes others want to work with her/him.
Sets a good example
Co-worker Development	Agree	Unsure	Disagree	N/A
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Strategic Insight	Agree	Unsure	Disagree	N/A
Adjusts strategic plans based on insights gathered from different points of view.
Develops a strategic vision for the future.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Works with others to develop insights into the resources and actions required to produce desired results.
Inspires employees to adopt the strategic plan.

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.