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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; floating anchors)
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.

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.
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Problem Solving

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I am flexible and adjust the solution as needed based on the monitoring data and feedback received.
  1. You possess a broad skill set and toolkit to address different challenges effectively.
  1. I remain resilient and motivated when encountering challenges or setbacks.
  1. You identify and analyze potential risks in advance.
  1. I assess the size and impact of the problem to better understand where resources may be needed.
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 foster a culture of disruptive innovation to drive significant market shifts and create unparalleled value for customers.
  1. I regularly review the strategic risks associated with innovation.
  1. You adjust creative approaches to ensure they meet both short-term and long-term business goals.
  1. You develop innovative products or services.
  1. I analyze the competitive environment to determine where innovation would have the greatest impact.
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 are able to complete several tasks at the same time.
  1. You are aware of the schedule and the importance of being on-time.
  1. You ensure that assignments are prioritized according to the needs of the department/company.
  1. You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
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 communicate ideas and facts clearly and effectively in writing.
  1. You avoid stating unclear or conflicting goals.
  1. You clearly define work objectives for employees.
  1. You use appropriate grammar and tense in communications.
  1. You write clear job descriptions for positions in the organization.
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 coach others and provides feedback on the use of different oral communication styles for different audiences
  1. I maintain a formal and respectful tone, avoid using of slang or overly casual language.
  1. I make eye contact with the person I am speaking with.
  1. You prepare and deliver effective presentations that are influential.
  1. You communicate goals of project, resources required, resources available, etc. to the team
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 coach others and prepares them for current and future business demands.
  1. You give inspiring presentations or discussions.
  1. You set specific, measurable, and challenging goals.
  1. You consistently follow the commitments to communication in dealing with others
  1. You focus others on the necessary tasks that need completion.
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. You design risk response activities that are proportionate to the level of risk.
  1. You effectively respond to critical situations to reduce potential for losses.
  1. I ensure employees are aware of potential impacts by increasing risk visibility.
  1. I take steps to contain the costs of responding to such events.
  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 demonstrate a high degree of ethics and integrity in the workplace.
  1. You strive for win/win solutions
  1. You effectively manage conflicts by dealing with them directly and immediately
  1. I am a highly respected individual in the company.
  1. I consider the other individual's point of view.
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 recognize and celebrates accomplishments of others.
  1. You support the successes of other employees.
  1. You assign tasks and responsibilities to develop skills of others.
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
  1. You assess employees' developmental needs.
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 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 address employee behavior problems effectively.
  1. You provide clear, motivating, and constructive feedback.
  1. You conduct regular performance appraisals and 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 cooperate with others on a global scale.
  1. You are able to work with others from different cultures and countries.
  1. You collaborate with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. You form strong client relationships with international partners.
  1. You consider customers point of view when making decisions.
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.