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
Develops a strategy for implementing changes.
Supports new initiatives for organizational changes to improve effectiveness.
Able to get department employees to accept new changes.
Is an inspiration for others to accept the recent changes.
Develops plans for following through on the changes.
Commitment To Result	Agree	Unsure	Disagree	N/A
Committed to the team.
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
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.
Ability to establish realistic goals.
Communicates goals and objectives to employees.
Effectively organizes resources and plans
Flexibility	Agree	Unsure	Disagree	N/A
Permits flexible working and flex-time to accommodate employee needs to meet external obligations.
Open to the perspectives/viewpoints of others.
Fosters an environment that prioritizes adaptability, ongoing enhancement, and creative thinking.
Adapts the onboarding experience to meet the unique needs of each new employee.
Can handle changes without complaining.
Passion To Learn	Agree	Unsure	Disagree	N/A
Demonstrates through personal behavior the commitment to high standards of performance.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Is open to feedback from others.
Creates an environment that supports personal development and exploration.
Constantly enhances product knowledge through experimentation and play.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Aligns the department's goals with the goals of the organization.
Stays focused even when under pressure and stress.
Helps guide employees with prioritizing tasks.
Sets appropriate goals for employees.
Excellent at managing time.
Administrative Skill	Agree	Unsure	Disagree	N/A
Able to develop, justify and present a budget.
Strong organizational skills to keep the workspace and department in order
Accurately implements contract provisions.
High attention to detail.
Takes responsibility for decisions.
Innovation	Agree	Unsure	Disagree	N/A
Takes risks to advance important ideas.
Solves problems with insight and understanding.
Suggests new ideas at meetings.
Develops new products and services.
Analyzes current procedures and identifies opportunities for improvement.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Offers constructive criticism to have a positive impact on performance.
Is thoughtful and honest about the feedback they give others.
Is someone you can trust.
Values the input from coworkers.
Understands the core issues of conversations.
Responsible	Agree	Unsure	Disagree	N/A
Behavior is ethical and honest.
...takes personal responsibility for results.
Sets a good example
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
Co-worker Development	Agree	Unsure	Disagree	N/A
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
Strategic Insight	Agree	Unsure	Disagree	N/A
Adjusts strategic plans based on insights gathered from different points of view.
Maintains knowledge of current trends in the industry.
Analyzes records and reports to obtain insight into potential issues and trends.
Pursues strategic alliances with valued partners.
Converses with customers and clients to get a better insight into their personal needs.

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.