Change Management - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Change Management

What does Change Management mean?
It means that ...

• I develop strategies for implementing changes.
• I am a leading force driving changes.
• You adopt changes to set and example for others to follow.
• I develop plans for following through on the changes.
• I inspire others to want to change.

To what extent does this person exhibit Change Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Problem Solving

What does Problem Solving mean?
It means that ...

• You make judgments based upon relevant information.
• You are a good problem solver and decision maker
• You actively seek the root cause of a problem.
• You solve problems using logic and insight.
• You are able to solve problems at root cause rather than at symptom level.

To what extent does this person exhibit Problem Solving?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Conflict Management

What does Conflict Management mean?
It means that ...

• You identify and takes steps to prevent potential confrontations.
• You discuss conflict situations with supervisor.
• You deal effectively with employee grievances.
• You clearly express expectations to others.
• You help employees to think through alternative ways to resolve conflict situations.

To what extent does this person exhibit Conflict Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Punctuality

What does Punctuality mean?
It means that ...

• You invoice clients on a timely basis.
• You start the workday when scheduled.
• You arrive to meetings on time.
• You maintain an efficient schedule of activities.
• You start meetings on time.

To what extent does this person exhibit Punctuality?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Planning

What does Planning mean?
It means that ...

• I ensure staff have the supplies and resources necessary to enact the plan.
• You assign the right tasks to the right people and holds them accountable.
• You are able to develop logistics plans to move material through a multi-step supply chain.
• I can effectively use logistics planning to reduce supply delays.
• You establish and monitor timeframes and timelines.

To what extent does this person exhibit Planning?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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