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Problem Solving - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Problem Solving:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions:

[Company] 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.

Competencies Included:
Problem Solving, Excellence, Customer Focus, Communication Skills, Bias for Action, Establishing Focus/Direction, Persuasion and Influence, Administrative Skill, Recognition, Organizational Fluency, Fiscal Management
Sample Result Document:
Sample Results
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 . 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
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Problem Solving

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Evaluates whether the necessary resources (budget, personnel, time, technology) are available to implement each solution.
  1. Creates a table or chart to compare the solutions side-by-side across all evaluation criteria.
  1. Identifies and assesses all potential responses to a problem.
  1. Selects the solution best aligned with the department's goals.
  1. Able to solve problems with multiple criteria that need to be met.
If [Participant Name] 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
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Keeps themselves and others focused on constant improvement.
  1. Can be counted on to add value wherever they are involved.
  1. Produces high quality work.
  1. Demonstrates the analytical skills to do their job.
If [Participant Name] 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
  1. Responds to feedback from customers.
  1. Has excellent communication with customers.
  1. Prioritizes customer issues to tackle the most pressing needs first.
  1. Maintains up-to-date information regarding customer products.
  1. Is honest in all communication with the customers.
If [Participant Name] 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
  1. Deconstructs complex issues into understandable segments.
  1. Understands and adjusts delivery of communications to maximize impact.
  1. Engages in clear communication with both senior and junior management.
  1. Verifies understanding throughout discussions.
  1. Is approachable and accessible when needed.
If [Participant Name] 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
  1. Focuses on what matters most and allocate time and resources effectively.
  1. Initiates tasks or projects that address identified needs.
  1. Offers assistance and creates a culture where team members feel supported and are more likely to help each other.
  1. Is reliable and dependable taking on responsibilities for work in the department.
  1. Completes a high amount of work.
If [Participant Name] 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
  1. Prioritizes tasks and resources to maintain focus and direction for the department.
  1. Develops shift patterns or schedules to maximize productivity while addressing individual availability.
  1. Invests in skill-building resources that enable employees to meet evolving performance standards.
  1. Sets appropriate goals for employees.
  1. Allocates time for important goals.
If [Participant Name] 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
  1. Convinces department employees of the soundness of a strategic plan.
  1. Leverages industry insights and benchmarks to support persuasive arguments and strategic recommendations.
  1. Designs communication strategies that sequence information logically, building understanding and commitment step by step.
  1. Sets the proper context for employees to make the best decisions.
  1. Focuses negotiations on decision makers.
If [Participant Name] 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
  1. Accurately performs data entry.
  1. Organizes schedules, including departure and arrival times, check-in details, and reservation confirmations.
  1. Demonstrates keen awareness of others' reactions and adapts communication and actions accordingly to foster effective collaboration.
  1. Selects and uses training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
  1. Answer phone calls and direct calls to appropriate parties or take messages.
If [Participant Name] 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
  1. Recognizes team members who offer a significant contribution to a project.
  1. Recognizes employees that participate on important teams.
  1. Offers recognition that reflects the employee's personal values, aspirations, and contributions in a way that feels authentic.
  1. Matches the reward to the person being recognized.
  1. Awards effective non-monetary rewards such as time off, keepsakes, or other awards.
If [Participant Name] 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
  1. Able to explain departmental policies and procedures to others.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Understands departmental policies and procedures.
  1. Adept at navigating within the culture of the department.
  1. Anticipates problems that may affect the department.
If [Participant Name] 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
  1. Provides budgeting and accounting support to the Company.
  1. Effective in using Company's resources.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Monitors expenses and verifies the need for items purchased.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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