Change Management - 360 Degree Feedback Survey Sample #13

Instructions

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



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Change Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Assesses market trends to determine the changes needed to maintain profitability.
Succinctly conveys a vision of the changes in a way that is easy for employees to understand.
Supports new initiatives for organizational changes to improve effectiveness.
Communicates a vision for the future.
Understands that changes may be needed to advance the organization.
Addresses personnel issues that may impede progress on implementing changes.
Champions and implements organizational change.
Effectively manages change in a dynamic business environment.
Is aware of changes in the work environment.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Works with others to pool knowledge, ideas and resources to provide deeper insights into difficult issues.
Respects and utilizes diverse perspectives in addressing challenges.
Fosters a cooperative environment rather than a highly competitive one.
Develops networks and builds alliances across departments.
Defines shared goals with the committee members.
Partnering/Networking	Strongly Disagree	Disagree	Agree	Strongly Agree
Leverages core competencies of partners to the benefit of both parties.
Defines a partnering strategy for identifying and selecting a partner.
Develops internal alliances with others in the department.
Facilitates the formation of collaborative relationships with suppliers and vendors.
Communicates with others in an open manner.
Passion To Learn	Strongly Disagree	Disagree	Agree	Strongly Agree
Will participate in training classes even if offered outside of normal working hours.
Demonstrates a willingness to participate in continuing education courses.
Creates an environment that supports personal development and exploration.
Inspires others to learn new things.
Enjoys learning new skills and techniques.
Attitude	Strongly Disagree	Disagree	Agree	Strongly Agree
Makes space for others to share perspectives on change, incorporating feedback into real-time decisions.
Accommodates differing work styles and needs when planning team interactions.
Seeks opportunities to be helpful to others.
Participates in planning and facilitating team-building activities or staff recognition events.
Contributes to a positive and fun work environment.
Managing Performance	Strongly Disagree	Disagree	Agree	Strongly Agree
Monitors performance on a regular basis.
Ensures employees understand their performance expectations.
Sets and maintains high standards for self and others.
Regularly conducts performance reviews of all employees.
Rewards individuals who show imagination in developing creative solutions to problems.
Initiative	Strongly Disagree	Disagree	Agree	Strongly Agree
Takes the initiative to complete tasks ahead of schedule.
Initiates draft documents for the director.
Initiates projects that have an impact on the department.
Seeks alternative methods or resources when initial approaches fail or are unavailable.
Proactively identifies and removes barriers that inhibit progress without waiting for direction.

40. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
41. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
42. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

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