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
Facilitates change with minimal resistance.
Supports the Company's efforts to implement changes.
Assists others in understanding changes to the organization.
Addresses organizational and departmental resistance to changes.
Able to get team members to change their attitudes.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Supports technical training and development of employees.
Proficient in the use of technical systems and processes.
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Applies complex rules and regulations to maintain optimal system performance.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Supports our company's safety programs.
Ensures that all supervisors are aware of regulatory and compliance measures.
Ensures compliance with safety regulations.
Participates in safety training as applicable.
Points out behaviors in others that may be unsafe.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Adapts coaching and mentoring approach to meet the style or needs of individuals
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
Gives others development opportunities through project assignments and increased job responsibilities
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Able to influence others to accept certain positions.
Conducts necessary preparations before engaging in negotiations.
Able to clearly express thoughts and concerns.
Understands the expectations of other parties in the negotiation.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Fosters an environment built upon trust.
Does what was promised.
Fosters a high standard of ethics and integrity.
Follows tasks to completion.
Protects the integrity and confidentiality of information
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Keep themselves up-to-date of technical/professional issues
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Able to understand others' points of view.
Is able to control their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Is able to express themselves clearly.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Able to adjust project schedule as needed to accommodate unforeseen issues.
Works with customers and clients to assess their needs and define project parameters.
Responds quickly and appropriately to unforeseen problems.
Inspires others to accomplish goals and objectives.
Develops action items, workplans, timelines, and criteria for projects.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Allows subordinates to use their own methods and procedures.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Sets clear and reasonable expectations for others and follows through on their progress.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Understands & contributes to development of strategic goals.
Achieves established goals.
Makes sure that I have a clear idea of our group's goals.
Achieves goals.
Goal Setting
Others	Definite Strength	Meets Standards	Needs Development	N/A
Consistently demonstrates ability and willingness to trust others.
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Able to see issues from others' perspectives.
...treats others with respect and dignity.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Creates a positive vision of the future for the Company.
Persuades others to follow the Company's vision.
Leads employees in new directions.
Clearly articulates a vision for his/her work and inspires others to support it
Communicates a vision of where the Company needs to be in the future.

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.