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
Effective in implementing new organizational vision and values.
Hosts workshops and brainstorming sessions to solicit feedback and solutions from employees on the changes.
Facilitates and leads the change management process.
Uses negative reinforcement to force changes.
Removes obstacles and hurdles that might impede change.
Commitment	Agree	Unsure	Disagree	N/A
Committed to maximizing sales by making merchandise presentation customer friendly and accessible.
Committed to the team.
Connects individual roles to organizational objectives, helping employees see how their work contributes to success.
Ensures employees are committed to a shared set of values for high productivity.
Exhibits commitment by challenging excuses and rationalizations, keeping the focus on responsibility and results.
Objectives	Agree	Unsure	Disagree	N/A
Consistently provides me with timely feedback for improving my performance.
Effectively organizes resources and plans
Able to organize work.
Establishes goals and objectives.
Assures [Company] principles are understood, employed & pursued.
Flexibility	Agree	Unsure	Disagree	N/A
Permits flexible working and flex-time to accommodate employee needs to meet external obligations.
Promotes flexibility in approaches by encouraging employees to think outside the box and experiment with new methods and ideas.
Fosters an environment that prioritizes adaptability, ongoing enhancement, and creative thinking.
Flexible and resilient in addressing critical incidents.
Able to integrate the latest tools and methods without causing disruption.
Passion To Learn	Agree	Unsure	Disagree	N/A
Exhibits willingness to upgrade skills through additional training and education.
Demonstrates a willingness to participate in continuing education courses.
Takes advantage of training opportunities when they arise.
Demonstrates through personal behavior the commitment to high standards of performance.
Takes initiative for own learning and development.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Aligns the team's efforts, energy, and focus on a shared goal.
Expands employee focus from day-to-day tasks to more strategic goals.
Is flexible and ready to adjust strategies in response to changing circumstances.
Ensures that the department's plans support the broader vision and strategic goals of the organization.
Encourages employees to work together for the completion of tasks.
Administrative Skill	Agree	Unsure	Disagree	N/A
Effectively conveys information verbally to others.
Proofreads and edits documents to ensure accuracy, clarity, and consistency.
Implements appropriate budget controls.
Able to develop, justify and present a budget plan.
Is productive in an office environment.
Innovation	Agree	Unsure	Disagree	N/A
Sets company-wide innovation performance targets and goals.
Allows employees to dedicate time and resources for innovation to empower them to think creatively and contribute to the department's growth and success.
Suggests new ideas at meetings.
Regularly reviews the strategic risks associated with innovation.
Implements the creative ideas of employees.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Responds quickly to inquiries from potential customers.
Takes time to recognize the efforts of others.
Able to work with individuals at all levels of the Company.
Is well respected in the department.
Offers praise to colleagues who have successfully completed major projects.
Responsible	Agree	Unsure	Disagree	N/A
Sets a good example
Completes assigned work tasks.
Responsible for setting the vision of the department.
Holds herself / himself accountable to goals / objectives
Is a person you can trust.
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
Takes immediate action on poor performance
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Strategic Insight	Agree	Unsure	Disagree	N/A
Develops a plan and strategy for each functional area within the mission statement.
Implements long-term solutions to problems.
Observes employees at work to get better insight into the issues they are dealing with.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
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.