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
Able to get department employees to accept new changes.
Inspires others to want to change.
Able to get team members to change their attitudes.
Addresses organizational and departmental resistance to changes.
Supports the Company's efforts to implement changes.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Supports employee training and development initiatives regarding implementation of technology.
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Applies complex rules and regulations to maintain optimal system performance.
Maximizes the use of new technology to deliver products and services.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Works to implement corrective safety measures.
Creates accurate and effective measures of safety.
Encourages others to work safely.
Supports safety programs and procedures.
Seeks to reduce the likelihood of accidents.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Takes immediate action on poor performance
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Influences others through rational argument and persuasion.
Is able to decline bad ideas to avoid making poor decisions.
Establishes good working relationships with others.
Researches the needs of the other party to identify strengths and weaknesses of positions.
Able to clearly express thoughts and concerns.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Develops trust and confidence from others.
Fosters a high standard of ethics and integrity.
Accepts responsibility for mistakes.
Maintains strong relationships with others.
Does what was promised.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Quickly acquire and apply new knowledge and skills when needed
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for continuous learning.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Is able to express themselves clearly.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Acquires and allocates internal and external resources needed for the project.
Accurately determines the number of engineers required for the project.
Establishes the scope for the project.
Coordinates communication between the project team and stakeholders.
Anticipates potential problems and institutes controls and contingency plans to address them.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Defines the roles, responsibilities, required actions, and deadlines for team members.
Defines goals and objectives for subordinates.
Allows employees to decide how they wish to complete the tasks.
Clearly defines duties and tasks to be completed.
Assigns tasks to create learning opportunities for the employees.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Sets high expectations and goals; encourages others to support the organization.
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Goal Setting
Achieves established goals.
Others	Definite Strength	Meets Standards	Needs Development	N/A
...treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Forms working relationships with employees from other departments.
Works effectively with people from other departments.
Constructively receives criticism and suggestions from others.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Understands the vision of the Company and promotes it ahead of any self-interests.
Persuades others to follow the Company's vision.
Creates a positive vision of the future for the Company.
Creates a common vision for others.
Communicates the vision and strategy of [Company]

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.