Problem Solving - 360 Degree Feedback Survey Sample #2





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)
Survey 14 (4-point scale; N/A)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager.

In responding to the questions below, think about your experiences as an employee over the last twelve months and the goals you were asked to achieve.

Sample Result Document:
Sample Results
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.

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


Problem Solving

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I am skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  1. You actively seek the root cause of a problem.
  1. You can develop innovative solutions to problems.
  1. You are effective in solving problems.
  1. You implement solutions and evaluates results.
What are your suggestions for how you can make improvements
in Problem Solving?

Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You seek innovative ways to change, grow, and improve the department.
  1. I embrace disruptive strategies enabling the organization to create groundbreaking advancements that outpace competitors.
  1. You maximize the alternative solutions to problems.
  1. You solve problems with insight and understanding.
  1. I encourage innovation from all levels of employees.
What are your suggestions for how you can make improvements
in Innovation?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You coordinate the work of a team by assigning tasks to other team members.
  1. You use a scheduler/planner to keep tasks organized and on time.
  1. You monitor progress frequently to maintain on schedule.
  1. You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. You consistently use a scheduler/planner.
What are your suggestions for how you can make improvements
in Juggling Multiple Responsibilities?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You clearly explain the vision and goals of the company.
  1. You adjust communication methods to the needs of the audience.
  1. You check details thoroughly.
  1. You are clear about the roles and duties of team members.
  1. You maintain clarity in goals and objectives.
What are your suggestions for how you can make improvements
in Clarity?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You communicate company/market changes to appropriate team members in a timely manner
  1. You are able to use multiple methods of communication.
  1. You are able to clarify complex or technical information.
  1. You provide followup information and seek to avoid misunderstandings.
  1. You coach others on their written communication skills
What are your suggestions for how you can make improvements
in Communication Skills?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You motivate and challenges employees to attain a shared vision.
  1. You are able to influence others.
  1. You focus others on the necessary tasks that need completion.
  1. You focus team efforts on meeting the needs of the customers.
  1. You find creative ways to reward employees for hard work.
What are your suggestions for how you can make improvements
in Leadership?

Managing Risk

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I seek to capitalize on risks.
  1. You develop appropriate strategies to minimize risks.
  1. I view risks as potential opportunities for profit.
  1. You develop policies for risk management.
  1. You determine the impact of specific risks on marketplace.
What are your suggestions for how you can make improvements
in Managing Risk?

Interpersonal Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are easily approachable.
  1. I demonstrate positive behaviors for others to follow.
  1. I pay close attention to what is being communicated verbally and nonverbally.
  1. You communicate well at all levels of the organization.
  1. I follow up on inquiries in a timely manner.
What are your suggestions for how you can make improvements
in Interpersonal Skills?

Developing Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You provide constructive feedback to others.
  1. You encourage employees through recognition of positive changes in behavior.
  1. You set performance objectives for subordinates that encourages development opportunities.
  1. You are open to receiving feedback.
  1. You assign tasks and responsibilities to develop skills of others.
What are your suggestions for how you can make improvements
in Developing Others?

Coaching

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You conduct regular performance appraisals and feedback.
  1. You provide clear, motivating, and constructive feedback.
  1. You address employee behavior problems effectively.
  1. You meet regularly with employees to coach them on areas that will enhance your performance
  1. You develop the skills and capabilities of others.
What are your suggestions for how you can make improvements
in Coaching?

Global Perspective

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  1. You are able to listen and understand others and discuss issues in a respectful way.
  1. You build working relationships with others across cultures.
  1. You can effectively deliver presentations to international clients.
  1. You volunteer for experiences and assignments abroad.
What are your suggestions for how you can make improvements
in Global Perspective?


  1. Strengths


  2. Areas for Development


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