Change Management - 360 Degree Feedback Survey Sample #12





360 Feedback Survey

Questionnaires Measuring Change Management:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
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

  • Inspires others to accept changes.
  • Inspires others to want to change.
  • Develops plans for following through on the changes.
  • Effective in implementing new organizational vision and values.
  • Adopts changes to set and example for others to follow.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Establishing Focus/Direction

  • Maintains focus when handling several problems or tasks simultaneously.
  • Excellent at managing time.
  • Maintains self-control when personally criticized.
  • Functions well under stress, deadlines, and/or significant workloads.
  • Helps guide employees with prioritizing tasks.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Objectives

  • Establishes goals and objectives.
  • Organizes and schedules events, activities, and resources.
  • Ability to establish realistic goals.
  • Effectively organizes resources and plans
  • Able to organize work.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Accountability

  • Consistently follows through on commitments and promises.
  • Defines roles, rights, and responsibilities of employees.
  • Can be counted on to do their role well.
  • Takes responsibility for errors and actively works to correct them.
  • Continues to work diligently on a problem despite setbacks.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Interpersonal Skills

  • Assists employees that need help.
  • Gives good advice and suggestions to coworkers.
  • Is a highly respected individual in the company.
  • Applies appropriate communication techniques to the situation.
  • Takes time to recognize the efforts of others.
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.