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

• Develops a strategy for implementing changes.
• Able to get department employees to accept new changes.
• Effective in dealing with ambiguous and challenging situations.
• Works cooperatively with others to implement changes.
• Able to get team members to change their attitudes.

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

Flexibility

• Identifies new opportunities to achieve goals
• Is open to alternative ways to accomplish goals
• Open to the perspectives/viewpoints of others.
• Able to adapt to new situations.
• Adapts to new organizational structures, policies, or procedures.

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

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

Initiative

• Takes corrective action to rectify issues.
• Encourages others on the team to suggest process improvements.
• Quickly comes to the aid of those who may need help.
• Initiates important conversation topics at meetings.
• Takes action to establish clear and concise deadlines for tasks to be completed.

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

Managing Risk

• Performs a risk analysis as needed.
• Is aware of process safety management.
• Creates a risk management strategy for the organization.
• Attends risk management seminars and conferences.
• Accurately determines appropriate risk levels (i.e., levels of acceptable risk).

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.