Change Management - 360 Degree Feedback Survey Sample #12

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.

Change Management

• Able to get team members to change their attitudes.
• Facilitates change with minimal resistance.
• Addresses organizational and departmental resistance to changes.
• Adopts changes to set and example for others to follow.
• Develops a strategy for implementing changes.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Establishing Focus/Direction

• Makes sure that employees understand and identify with the team's mission.
• Functions well under stress, deadlines, and/or significant workloads.
• Makes sure that employees understand how their work relates to organizational goals.
• Maintains self-control when personally criticized.
• Stays focused even when under pressure and stress.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Objectives

• Sets long-term and short-term goals.
• Effectively organizes resources and plans
• Communicates goals and objectives to employees.
• Consistently provides me with timely feedback for improving my performance.
• Establishes goals and objectives.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Accountability

• Takes responsibility for results.
• Documents performance goals through an individual development plan.
• Reviews performance to determine areas for improvement.
• Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
• Regularly completes tasks on time.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Interpersonal Skills

• Demonstrates a high degree of ethics and integrity in the workplace.
• Demonstrates compassion and understanding of others.
• Sees values in the diversity of individuals on the team.
• Appreciates the extra efforts made by coworkers.
• Is open and approachable

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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