Change Management - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Inspires others to want to change.
Assists others in understanding changes to the organization.
Supports the Company's efforts to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Is an inspiration for others to accept the recent changes.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Supports technical training and development of employees.
Applies complex rules and regulations to maintain optimal system performance.
Understands and is committed to implementing new technologies.
Maximizes the use of new technology to deliver products and services.
Supports employee training and development initiatives regarding implementation of technology.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Ensures that all supervisors are aware of regulatory and compliance measures.
Is aware of OSHA safety guidelines.
Develops a strong safety culture.
Works to implement corrective safety measures.
Commits adequate resources toward safety measures.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Controls emotional responses to maintain a productive atmosphere.
Able to collaborate with others in solving problems to create solutions that satisfy both parties' interests.
Establishes clear communications to avoid misunderstandings.
Is prepared to walk away if core interests are not met.
Listens to all sides without bias and makes fair decisions.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates honesty and truthfulness at all times.
Develops trust and confidence from others.
Does what was promised.
Follows tasks to completion.
Maintains strong relationships with others.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
Able to understand others' points of view.
Is able to express themselves clearly.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Creates the implementation strategy for the project.
Inspires others to accomplish goals and objectives.
Creates a vision for execution of the project to ensure coordination across all teams.
Presents clear and accurate status information to required constituents.
Defines the project scope, goals, and resources.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Allows employees to decide how they wish to complete the tasks.
Clearly defines duties and tasks to be completed.
Allows subordinates to use their own methods and procedures.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Conducts timely follow-up; keeps others informed on a need to know basis.
Sets high expectations and goals; encourages others to support the organization.
Establishes and documents goals and objectives.
Goal Setting
Achieves goals.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Works across boundaries within the organization.
Includes others in the decision making processes.
Supports the efforts of other employees in implementing solutions to problems.
Constructively receives criticism and suggestions from others.
Treats others with respect and dignity.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Develops a vision to inspire collective action.
Cultivates an environment that embodies the department's vision.
Creates an ambitious and aspirational vision for the company.
Inspires individuals to achieve success by clearly communicating the organization's vision and motivating them to align their personal goals with this vision.
Creates and executes a strategic vision that drives the company's growth forward.

66. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
67. Strengths
    
    
    
68. Areas for Development
    
    
    
69. Please give any final comments or suggestions for [Participant Name Here]'s assessment.