Change Management - 360 Degree Feedback Survey Sample #12

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

• Effective in dealing with ambiguous and challenging situations.
• Adopts changes to set and example for others to follow.
• Addresses organizational and departmental resistance to changes.
• Works cooperatively with others to implement changes.
• Supports new initiatives for organizational changes to improve effectiveness.

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

Comments:

Establishing Focus/Direction

• Functions well under stress, deadlines, and/or significant workloads.
• Maintains self-control when personally criticized.
• Helps guide employees with prioritizing tasks.
• Excellent at managing time.
• Makes sure that employees understand how their work relates to organizational goals.

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

Comments:

Objectives

• Communicates goals and objectives to employees.
• Encourages me to take on greater responsibility.
• Assures [Company] principles are understood, employed & pursued.
• Sets long-term and short-term goals.
• Organizes and schedules events, activities, and resources.

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

Comments:

Accountability

• Keeps their word and does what they say they will do.
• Is someone you can trust.
• Tackles issues head on and finds solutions.
• Develops goals and establishes objective measures of success.
• Can be counted on to do what they say they are going to do.

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

Comments:

Interpersonal Skills

• Applies appropriate communication techniques to the situation.
• Able to work with individuals at all levels of the Company.
• Adapts management style to meet the needs of the individual or situation.
• Strives for win/win solutions
• Provides constructive feedback in a way that fosters acceptance and development.

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.