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.



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Change Management	Agree	Unsure	Disagree	N/A
Supports the Company's efforts to implement changes.
Able to get department employees to accept new changes.
Effective in dealing with ambiguous and challenging situations.
Develops a strategy for implementing changes.
Inspires others to want to change.
Commitment To Result	Agree	Unsure	Disagree	N/A
Committed to the team.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Objectives	Agree	Unsure	Disagree	N/A
Able to organize work.
Communicates goals and objectives to employees.
Encourages me to take on greater responsibility.
Establishes goals and objectives.
Assures [Company] principles are understood, employed & pursued.
Flexibility	Agree	Unsure	Disagree	N/A
Responds to changing governmental regulations.
Innovates skills and modifies behaviors to remain flexible in addressing important issues.
Is open to alternative ways to accomplish goals
Adapts the onboarding experience to meet the unique needs of each new employee.
Is able to recover from setbacks.
Passion To Learn	Agree	Unsure	Disagree	N/A
Stays up-to-date on emerging technologies.
Exhibits willingness to upgrade skills through additional training and education.
Enjoys learning new skills and techniques.
Will participate in training classes even if offered outside of normal working hours.
Takes advantage of training opportunities when they arise.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Maintains focus when handling several problems or tasks simultaneously.
Maintains self-control when personally criticized.
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Helps guide employees with prioritizing tasks.
Administrative Skill	Agree	Unsure	Disagree	N/A
Strong organizational skills to keep the workspace and department in order
Implements and uses performance measures.
Has strong technical/computer skills.
Completes reports on-time.
Accurately implements contract provisions.
Innovation	Agree	Unsure	Disagree	N/A
Creates new and efficient processes.
Adapts innovative solutions to fit the organizational context and resources for greater effectiveness.
Challenges current procedures / processes to develop new solutions.
Suggests new ideas at meetings.
Helps focus the department on innovation.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Uses knowledge and charisma rather than position, power, or coercion to influence others
Is a role model for others demonstrating the importance of interpersonal skills.
Honesty and integrity are core tenets of interpersonal relationships.
Creates an atmosphere that supports the open expression of ideas
Responds quickly to inquiries from potential customers.
Responsible	Agree	Unsure	Disagree	N/A
Behavior is ethical and honest.
Is a person you can trust.
Completes assigned work tasks.
Responsible for setting the vision of the department.
Holds herself / himself accountable to goals / objectives
Co-worker Development	Agree	Unsure	Disagree	N/A
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
Takes immediate action on poor performance
Strategic Insight	Agree	Unsure	Disagree	N/A
Develops a plan and strategy for each functional area within the mission statement.
Maintains knowledge of current trends in the industry.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Meets with customers to gain insight into their core needs and how best to serve them.
Ensures that the department's goals are strategically aligned with the company's goals.

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.