Change Management - 360 Degree Feedback Survey Sample #10

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.

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Change Management

• Works cooperatively with others to implement changes.
• Inspires others to want to change.
• Develops a strategy for implementing changes.
• Able to get department employees to accept new changes.
• Inspires others to accept changes.

If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?

Flexibility

• Responds to the various needs of other colleagues and departments.
• Is able to recover from setbacks.
• Navigates ambiguity with ease, maintaining focus and productivity amidst uncertainty.
• Is able to bounce back from obstacles.
• Able to change the workflow as needed to facilitate changes in regulations or policies.

If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?

Continual Improvement

• Looks for ways to expand current job responsibilities.
• Open to the suggestions from others.
• Analyzes processes to determine areas for improvement.
• Looks for ways to expand and learn new job skills.
• Looks for ways to improve work processes and procedures.

If [Participant Name] were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?

Initiative

• Gladly seeks additional responsibilities.
• Is an inspiration for others to perform above expectations.
• Addresses small problems before they become big ones.
• Does the right thing without being told.
• Independently seeks out new learning opportunities to improve their skills.

If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?

Managing Risk

• Tracks and monitors incidents that may increase the risk of adverse consequences.
• Ensures that any risky decisions taken are based on informed decision making.
• Identifies the controls needed.
• Is aware of process safety management.
• Creates a risk management strategy for the organization.

If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?

Overall, please rate the effectiveness of [Participant Name Here].

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.