Problem Solving - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Problem Solving	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Works cooperatively with others to solve problems.
Solves problems using logic and insight.
Identifies and assesses all potential responses to a problem.
Ability to develop innovative solutions to problems.
Able to balance the needs of different people in a solution to a problem.
If were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Takes a lot of pride in their work.
Is planful and organized.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
...friendliness and courtesy
Ensures all customer commitments and requirements are met or exceeded.
Maintains positive customer relationships.
Considers customers point of view when making decisions.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
If were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to demonstrate persuasiveness in pursuit of objectives.
Listens to others' points of view with an open mind
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Deals with difficult situations calmly and confidently.
Communicates effectively with colleagues and customers
If were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Bias for Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Displays high energy and enthusiasm on consistent basis.
Motivates others to achieve or exceed goals
Identifies ways to simplify work processes and reduce cycle times
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes work on time
If were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Makes sure that employees understand and identify with the team's mission.
Makes sure that employees understand how their work relates to organizational goals.
Sets appropriate goals for employees.
Maintains focus when handling several problems or tasks simultaneously.
Functions well under stress, deadlines, and/or significant workloads.
If were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Seeks to obtain consensus or compromise.
Persuades others to consider alternative points of view.
Able to express own goals and needs.
Attempts to persuade others rather than simply control them.
Develops a good rapport with others.
If were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to develop, justify and present a budget.
Implements and uses performance measures.
Enthusiastic about taking on challenging projects.
High attention to detail.
Completes reports on-time.
If were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Recognizes the abilities and skills of self and others
Says "thank you" to show appreciation for work of others.
Compliments other people when they do good work
Makes people around them feel appreciated and valued.
Lets employees know when they have done well
If were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Understands departmental policies and procedures.
Gets things done through the department.
Effective in communicating with others within the organization.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to use corporate politics to advance department objectives.
If were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Effective in using Company's resources.
Monitors spending.
Develops budgets and plans for various programs and initiatives.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
If were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

56. What are 's greatest strengths demonstrated this year?
    
    
    
57. What are 's areas for development?
    
    
    
58. Please give any final comments or suggestions for 's assessment.