Change Management - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Addresses organizational and departmental resistance to changes.
Able to get department employees to accept new changes.
Is an inspiration for others to accept the recent changes.
Adopts changes to set and example for others to follow.
Develops plans for following through on the changes.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Proficient in the use of technical systems and processes.
Adopts the implementation of new technology into the workplace.
Supports technical training and development of employees.
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Committed to safety in the workplace.
Supports safety programs and procedures.
Participates in safety training when offered.
Encourages others to attend safety training.
Keeps accurate safety records.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Stays calm and focuses on the core issues to be discussed.
Takes steps to control emotional responses to avoid making rash decisions.
Knows the BATNA (Best Alternative to a Negotiated Agreement) and is prepared to walk away if core interests are not met.
Understands the expectations of other parties in the negotiation.
A proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Maintains strong relationships with others.
Follows tasks to completion.
Fosters an environment built upon trust.
Demonstrates honesty and truthfulness at all times.
Accepts responsibility for mistakes.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Seeks opportunities for professional development.
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Contributing fully to the extent of their skills
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to manage their own emotions.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Ensures work is completed to the appropriate standards.
Has detailed knowledge about the project and can adapt the project plan as needed.
Estimates the duration for each phase of the project.
Estimates the time needed for each phase of the project.
Understands the budget constraints for the project.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Assigns tasks to create learning opportunities for the employees.
Defines goals and objectives for subordinates.
Sets clear and reasonable expectations for others and follows through on their progress.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Goal Setting
Understands & contributes to development of strategic goals.
Achieves established goals.
Establishes and documents goals and objectives.
Makes sure that I have a clear idea of our group's goals.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Helpful
Able to see issues from others' perspectives.
...treats others with respect and dignity.
Works effectively with people from other departments.
Respects the opinions of other employees.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Develops a vision to empower employees to make more effective decisions.
Develops an inspiring and ambitious vision for the organization's future.
Provides the vision needed to help the organization remain competitive and adaptable in a dynamic market.
Creates and executes a strategic vision that propels the department forward.
Analyzes data and industry patterns to forecast opportunities and challenges.

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.