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
Adopts changes to set and example for others to follow.
Works cooperatively with others to implement changes.
Addresses organizational and departmental resistance to changes.
Effective in dealing with ambiguous and challenging situations.
Assists others in understanding changes to the organization.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Maximizes the use of new technology to deliver products and services.
Proficient in the use of technical systems and processes.
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Uses technology in decision making and problem solving.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Identifies and addresses safety needs.
Points out behaviors in others that may be unsafe.
Creates accurate and effective measures of safety.
Mitigates hazards and safety issues that arise.
Encourages others to work safely.
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
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Works to identify root causes of performance problems
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Establishes clear communications to avoid misunderstandings.
Researches the needs of the other party to identify strengths and weaknesses of positions.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Is able to decline bad ideas to avoid making poor decisions.
Establishes good working relationships with others.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Does what was promised.
Maintains strong relationships with others.
Protects the integrity and confidentiality of information
Develops trust and confidence from others.
Follows tasks to completion.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Seeks opportunities for continuous learning.
Encourages employees to take courses relevant to their job.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to manage their own emotions.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Organizes, plans, and directs resources to accomplish the goals and objectives.
Maintains costs and expenses within budget limits.
Defines project outcomes based on customer requirements.
Develops performance measures for various aspects of the project.
Inspires others to accomplish goals and objectives.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Defines the roles, responsibilities, required actions, and deadlines for team members.
Allows subordinates to use their own methods and procedures.
Tells subordinates what to do, not how to do it.
Entrusts subordinates with important tasks.
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 I have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Goal Setting
Conducts timely follow-up; keeps others informed on a need to know basis.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Treats others with respect and dignity.
Helpful
Supports the efforts of other employees in implementing solutions to problems.
Includes others in the decision making processes.
Is able to see issues from others' perspectives.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates consistency between words and actions
Works to support the strategy of [Company]
Develops action plans to align his/her work with the goals of the organization
Creates a positive vision of the future for the Company.
Leads employees in new directions.

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.