Change Management - 360 Degree Feedback Survey Sample #9

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.

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Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Addresses organizational and departmental resistance to changes.
Works cooperatively with others to implement changes.
Adopts changes to set and example for others to follow.
Supports the Company's efforts to implement changes.
Assists others in understanding changes to the organization.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Proficient in the use of technical systems and processes.
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Understands and is committed to implementing new technologies.
Supports technical training and development of employees.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Develops a strong safety culture.
Ensures that all supervisors are aware of regulatory and compliance measures.
Participates in safety training when offered.
Performs work safely.
Identifies predictable hazards in the workplace.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Adapts coaching and mentoring approach to meet the style or needs of individuals
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
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Is able to decline bad ideas to avoid making poor decisions.
Leverages relationships with others to achieve goals.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Able to say "no" when it is essential to maintaining quality and high standards.
Influences others through rational argument and persuasion.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Does what was promised.
Fosters an environment built upon trust.
Protects the integrity and confidentiality of information
Follows tasks to completion.
Maintains strong relationships with others.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Seeks opportunities for continuous learning.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Keep themselves up-to-date of technical/professional issues
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
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 express themselves clearly.
Is able to manage their own emotions.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Inspires others to accomplish goals and objectives.
Anticipates potential problems and institutes controls and contingency plans to address them.
Maintains costs and expenses within budget limits.
Works with customers and clients to assess their needs and define project parameters.
Defines project outcomes based on customer requirements.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Sets clear and reasonable expectations for others and follows through on their progress.
Tells subordinates what to do, not how to do it.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Achieves established goals.
Establishes and documents goals and objectives.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Is able to see issues from others' perspectives.
Forms working relationships with employees from other departments.
...treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Communicates the vision and strategy of [Company]
Creates a common vision for others.
Demonstrates consistency between words and actions
Creates a positive vision of the future for the Company.
Works to support the strategy of [Company]

65. Overall, please rate the effectiveness of .
    

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

    
    
66. Strengths
    
    
    
67. Areas for Development
    
    
    
68. Please give any final comments or suggestions for 's assessment.