Change Management - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Change Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Creates a sense of urgency around the need for changes.
Recognizes progress and achievements to reinforce motivation and commitment to the change.
Generates commitment to the changes through a compelling vision for the future.
Is aware of changes in customer needs/demands.
Incentivizes changes to have a greater impact.
Monitors the change process.
Encourages managers to embrace the changes.
Leads a cross-functional team with employees from different departments to implement changes.
Adjusts leadership approach to align with evolving circumstances.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Establishes goals and objectives.
Effectively organizes resources and plans
Sets long-term and short-term goals.
Ability to establish realistic goals.
Assures [Company] principles are understood, employed & pursued.
Able to organize work.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Demonstrates compassion and understanding of others.
Effectively manages conflicts by dealing with them directly and immediately
Willing to overlook personal differences and focus on completing the task at hand.
Maintains a high degree of honesty and integrity.
Shows appreciation for other's work.
Honest about owning up to mistakes made.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Encourages trust among committee members.
Values others in decision making.
Uses group decision making.
Ensures that all members are aligned and motivated, contributing to a cohesive and productive team dynamic.
Actively engages with team members to foster a cooperative environment.
Respects individual differences that contribute to solving problems.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Accountability	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Reviews performance to determine areas for improvement.
Ensures that employee objectives are aligned with the organization's objectives.
Works to achieve established goals.
Takes ownership of problems to find the best solutions.
Commits to leading the initiatives to solving critical issues.
Exhibits a sense of ownership of the process.
If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Provides strong direction to new employees and recent transfers.
Outlines specific behaviors and outcomes that constitute success in the role.
Expands employee focus from day-to-day tasks to more strategic goals.
Articulates the goals, expected outcomes, and how the goal contributes to the broader vision of the organization.
Refines objectives to better align with the team's strengths or organizational needs based on feedback from team members.
Develops contingency plans to proactively address potential risks.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Developing Others	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is open to receiving feedback.
Sets performance objectives for subordinates that encourages development opportunities.
Encourages employees through recognition of positive changes in behavior.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Tries to ensure employees are ready to move to the next level.
Assesses employees' developmental needs.
If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.