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)
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.

Competencies Included:
Problem Solving, Innovation, Juggling Multiple Responsibilities, Clarity, Communication Skills, Leadership, Managing Risk, Interpersonal Skills, Developing Others, Coaching, Global Perspective
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. You are effective in solving problems.
  1. You understand the root causes of problems.
  1. You are able to solve problems at root cause rather than at symptom level.
  1. You actively seek the root cause of a problem.
  1. You find creative ways to get things done with limited resources.
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 create a safe environment for idea-sharing.
  1. You suggest new ideas at meetings.
  1. You implement best practices within the department.
  1. You encourage open communication to ensure that all proposals are considered.
  1. You identify fresh approaches to solving problems.
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 assess current capabilities before committing to new requests from customers.
  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 bounce back from daily crisis, disappointments and frustrations.
  1. You use a scheduler/planner to keep tasks organized and on time.
  1. You determine which tasks are critical and which tasks are optional.
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 attend to the important details of a job or task.
  1. You make sure goals and objectives are clearly and thoroughly explained and understood.
  1. You avoid stating unclear or conflicting goals.
  1. You write clear job descriptions for positions in the organization.
  1. You are clear about the roles and duties of team members.
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. I maintain eye contact to foster direct communication.
  1. You implement performance appraisals focused on employee development using SMART criteria
  1. You listen to others' points of view with an open mind
  1. I am approachable, dependable, and ready to assist when needed.
  1. I recap action steps from meetings to ensure clarity and execution.
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 lead team to set goals, solve problems, and accomplish tasks.
  1. You provide challenging assignments to employees.
  1. You guide decision-making by coaching, counseling and rewarding.
  1. You inspire, encourage, and guide others toward the vision, mission, and goals.
  1. You are accessible and approachable to associates.
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 add value to the organization through acceptance of certain risk.
  1. I use risk management to ensure smooth operations.
  1. You gather information regarding potential risks.
  1. I ensure that any risky decisions taken are based on informed decision making.
  1. I identify opportunities that may be created by taking specific risks.
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. I embrace the differences in individuals that comprise the team.
  1. I value the input from coworkers.
  1. I offer praise to colleagues who have successfully completed major projects.
  1. I maintain a high degree of honesty and integrity.
  1. I am someone you can trust.
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 try to ensure employees are ready to move to the next level.
  1. You assess employees' developmental needs.
  1. You provide constructive feedback to others.
  1. You are open to receiving feedback.
  1. You set performance objectives for subordinates that encourages development opportunities.
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 coach employees in how to strengthen knowledge and skills to improve work performance.
  1. You help employees to understand responsibilities, authority, and expectations.
  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.
  1. You provide clear, motivating, and constructive feedback.
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 aware of the culture, behaviors, identities and beliefs of others.
  1. You analyze global issues/problems that are having a large impact on the Company.
  1. You volunteer for experiences and assignments abroad.
  1. You are able to work with others from different cultures and countries.
  1. You build working relationships with others across cultures.
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.