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)
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


Problem Solving

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Identifies and assesses all potential responses to a problem.
  1. Ability to solve problems at root cause rather than at symptom level.
  1. Is a good problem solver and decision maker
  1. Effective in solving problems.
  1. Generates alternative solutions to problems and challenges.
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. Produces high quality work.
  1. Can be counted on to add value wherever they are involved.
  1. Is planful and organized.
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. Adapts to changing customer needs.
  1. Ensures commitments made to customers are completed to the customer's satisfaction.
  1. Gives feedback to the customer regularly.
  1. Is committed to the customer's success.
  1. Helps customers to feel satisfied with our work/services.
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. Communicates effectively with colleagues and customers
  1. Listens to others' points of view with an open mind
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Able to deliver presentations.
  1. Is an effective communicator
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. Motivates others to achieve or exceed goals
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Completes a large volume of work.
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Conveys a sense of urgency about addressing problems and opportunities
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. Sets appropriate goals for employees.
  1. Stays focused even when under pressure and stress.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Helps guide employees with prioritizing tasks.
  1. Maintains focus when handling several problems or tasks simultaneously.
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. Communicates effectively with others.
  1. Persuades others to consider alternative points of view.
  1. Has excellent influencing/negotiating skills.
  1. Develops a good rapport with others.
  1. Seeks to obtain consensus or compromise.
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. Has strong technical/computer skills.
  1. Able to develop, justify and present a budget.
  1. Accurately implements contract provisions.
  1. Completes reports on-time.
  1. Strong organizational skills to keep the workspace and department in order
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. Says "thank you" to show appreciation for work of others.
  1. Recognizes individuals for a specific outstanding achievement.
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Is sincerely interested in the suggestions of co-workers
  1. Finds opportunities to recognize others.
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. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Adept at navigating within the culture of the department.
  1. Anticipates problems that may affect the department.
  1. Gets things done through the department.
  1. Able to explain departmental policies and procedures to others.
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. Develops budgets and plans for various programs and initiatives.
  1. Effective in using Company's resources.
  1. Monitors spending.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Develops of the department's annual budget.
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.