Problem Solving - 360 Degree Feedback Survey Sample #3





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

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Problem Solving, Change Management, Flexibility, Creativity, Cultural Awareness, Supervisory Skills, Performance, Objectives, Conflict Management, Planning
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Problem Solving

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Actively seeks the root cause of a problem.
  1. Is a good problem solver and decision maker
  1. Ability to develop innovative solutions to problems.
  1. Works cooperatively with others to solve problems.
  1. Finds creative ways to get things done with limited resources.
Please feel free to provide any comments to help explain your answers?

Change Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Is an inspiration for others to accept the recent changes.
  1. Facilitates change with minimal resistance.
  1. Inspires others to accept changes.
  1. Works cooperatively with others to implement changes.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Performs more and varried processes on the production line.
  1. Balances multiple perspectives to find common ground and innovative solutions.
  1. Implements changes as a result of having listened to employees
  1. Responds to changing governmental regulations.
  1. Anticipates differences to the procedures that may be needed due to a changing operating environment.
Please feel free to provide any comments to help explain your answers?

Creativity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is creative and inspirational.
  1. Creates a lot of new ideas.
  1. Conceives, implements and evaluates ideas.
  1. Adds value to the department/organization.
  1. Is creative.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. May advocate for others with different cultural backgrounds.
  1. Hires individuals with different cultural backgrounds for the department.
  1. Values the diverse perspectives from others.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Helps other employees to become more culturally sensitive.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Fosters a positive work environment in the department.
  1. Completes assessments in a timely manner.
  1. Motivates and inspires high performance by team members.
  1. Informs employees of what tasks need to be completed on each shift.
  1. Is diligent about completing performance assessments on time.
Please feel free to provide any comments to help explain your answers?

Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Sets a high standard for job performance.
  1. Has great overall performance
  1. Works effectively in the department.
  1. ...Produce Quality
  1. Effectively organizes resources and plans
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Sets long-term and short-term goals.
  1. Works toward achieving established goals and objectives.
  1. Organizes and schedules events, activities, and resources.
  1. Effectively organizes resources and plans
  1. Consistently provides me with timely feedback for improving my performance.
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Resolves grievances through a better understanding and appreciation of what each side needs.
  1. Establishes roles and responsibilities.
  1. Avoids engaging in conflicts over minor workplace matters.
  1. Is supportive of consensus and power sharing.
  1. Acknowledges each party's intrinsic needs.
Please feel free to provide any comments to help explain your answers?

Planning

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Creates effective logistics plans to achieve high operational efficiency.
  1. Anticipates obstacles and ways to overcome them.
  1. Determines what supplies/equipment will be needed for the project.
  1. Adjusts and rearranges the schedule to maximize efficiency.
  1. Is good at planning for the "unexpected".
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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