Change Management - 360 Degree Feedback Survey Sample #10

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

• Effective in dealing with ambiguous and challenging situations.
• Works cooperatively with others to implement changes.
• Supports new initiatives for organizational changes to improve effectiveness.
• Addresses organizational and departmental resistance to changes.
• Effective in implementing new organizational vision and values.

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

Flexibility

• Open to the perspectives/viewpoints of others.
• Adapts to new organizational structures, policies, or procedures.
• Effective in incorporating new ideas.
• Encourages others to adopt new procedures.
• Able to adapt to new situations.

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 improve work processes and procedures.
• Looks for ways to expand and learn new job skills.
• Promotes training and development opportunities to enhance job performance.
• Encourages an employee culture of continuous improvement to seek out better ways of doing things.
• Looks for ways to expand current job responsibilities.

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

Initiative

• Goes above and beyond the stated goals.
• Immediately works to complete goals well before their deadline.
• Coach others to foster an environment which can adapt quickly and willingly to rapid change.
• Seeks and utilizes opportunities for continuous learning and self-development.
• Prepares for unexpected contingencies.

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

Managing Risk

• Recognizes that small changes may snowball into major events.
• Works within constraints of the organization.
• Bases decisions on patterns found in fluid/changing information.
• Able to adapt quickly to changing situations.
• Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.

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.