Change Management - 360 Degree Feedback Survey Sample #11

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.

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.

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Change Management

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

• I inspire others to want to change.
• You assist others in understanding changes to the organization.
• I am able to get department employees to accept new changes.
• You are effective in dealing with ambiguous and challenging situations.
• You work cooperatively with others to implement changes.

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 leverage available resources efficiently and are quick to find alternative solutions when obstacles occur.
• I create a table or chart to compare the solutions side-by-side across all evaluation criteria.
• I compare the proposed solutions against each other and against any existing solutions to determine which one is likely to yield the best results.
• You generate alternative solutions to problems and challenges.
• I implement solutions to solve the problem.

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 settle disputes resulting in a win-win for both parties.
• You identify and takes steps to prevent potential confrontations.
• I prefer to resolve conflicts through negotiation rather than coersion.
• I am supportive of consensus and power sharing.
• You settle disputes with agreement from both parties.

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 start meetings on time.
• You start the workday when scheduled.
• You maintain an efficient schedule of activities.
• You avoid making personal phone calls during working hours.
• You conduct appointments at scheduled start 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 can initiate the planning process by defining the scope of the project.
• You purchase equipment and software that will be needed in the future.
• You are able to balance the needs of multiple stakeholders in developing the plan for the division.
• I make strategic and tactical decisions to guide the logistics process.
• I develop effective plans to deal with unforeseen circumstances.

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.