Problem Solving - 360 Degree Feedback Survey Sample #2

Instructions

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 and the goals they were asked to achieve. 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 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.

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

Problem Solving	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Ability to develop innovative solutions to problems.
Identifies and assesses all potential responses to a problem.
Ability to solve problems at root cause rather than at symptom level.
Able to balance the needs of different people in a solution to a problem.
Effective in solving problems.
What are your suggestions for how can make improvements in Problem Solving?
Innovation	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Implements best practices within the department.
Builds upon the ideas and solutions of others.
Analyzes current procedures and identifies opportunities for improvement.
Offers constructive improvements to existing systems.
Challenges current procedures to develop other alternatives.
What are your suggestions for how can make improvements in Innovation?
Juggling Multiple Responsibilities	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Plans and organizes continuously while performing all other responsibilities and activities.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Bounces back from daily crisis, disappointments and frustrations.
What are your suggestions for how can make improvements in Juggling Multiple Responsibilities?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Checks details thoroughly.
Avoids stating unclear or conflicting goals.
Clarifies problems and their causes to help employees correct them.
Maintains clarity in goals and objectives.
Attends to the important details of a job or task.
What are your suggestions for how can make improvements in Clarity?
Communication Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communications with department leadership
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Communicates effectively with colleagues and customers
Deals with difficult situations calmly and confidently.
Checks for understanding throughout conversations or group presentations/discussions
What are your suggestions for how can make improvements in Communication Skills?
Leadership	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Acts decisively in implementing decisions.
Gives direct, constructive, and actionable feedback.
Demonstrates leadership and courage in critical situations.
Takes ownership and accountability for results
Able to influence others.
What are your suggestions for how can make improvements in Leadership?
Managing Risk	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Rewards innovative experiments to try new ideas.
Seeks to retain the best and brightest employees.
Effectively responds to critical situations to reduce potential for losses.
Seeks to maintain the long-term viability of the Company.
Bases decisions on patterns found in fluid/changing information.
What are your suggestions for how can make improvements in Managing Risk?
Interpersonal Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Applies appropriate communication techniques to the situation.
Able to work with individuals at all levels of the Company.
Anticipates the concerns of other employees.
Successfully resolves conflicts and grievances to a win-win solution.
Provides constructive feedback in a way that fosters acceptance and development.
What are your suggestions for how can make improvements in Interpersonal Skills?
Developing Others	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Supports the successes of other employees.
Is open to receiving feedback.
Assigns tasks and responsibilities to develop skills of others.
Tries to ensure employees are ready to move to the next level.
Provides constructive feedback to others.
What are your suggestions for how can make improvements in Developing Others?
Coaching	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Conducts regular performance appraisals and feedback.
Helps employees to maintain high personal standards.
Provides clear, motivating, and constructive feedback.
What are your suggestions for how can make improvements in Coaching?
Global Perspective	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Sets the example for team on importance of cultural awareness.
Applies knowledge of overseas markets.
Analyzes global issues/problems that are having a large impact on the Company.
Demonstrates working knowledge of global transactions.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
What are your suggestions for how can make improvements in Global Perspective?

56. Strengths
    
    
    
57. Areas for Development
    
    
    
58. Please give any final comments or suggestions for 's assessment.