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)

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

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 a great company.

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

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Problem Solving	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works cooperatively with others to solve problems.
Solves problems using logic and insight.
Is a good problem solver and decision maker
Ability to solve problems at root cause rather than at symptom level.
Effective in solving problems.
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
Effective in dealing with ambiguous and challenging situations.
Addresses organizational and departmental resistance to changes.
Supports the Company's efforts to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
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
Effective in incorporating new ideas.
Is open to alternative ways to accomplish goals
Encourages others to adopt new procedures.
Works effectively during periods of change.
Willing to try new ideas.
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
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Adds value to the department/organization.
Inspires creativity in their team.
Develops solutions to challenging problems.
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
Treats others with dignity and respect.
Values the opinions of diverse groups and individual.
Seeks out different viewpoints and benefits from different perspectives.
Encourages a work environment where individual differences are valued.
Fosters a diverse workforce free from discrimination and harassment.
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
Maintains good working relationships with employees.
Resolves personnel problems quickly and effectively.
Appropriately recognizes and rewards employees.
Is aware of the unique strengths of each employee.
Delegates effectively.
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
Has great overall performance
Effectively organizes resources and plans
Works effectively in the department.
Works well in this position.
Able to organize work.
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
Able to organize work.
Assures [Company] principles are understood, employed & pursued.
Organizes and schedules events, activities, and resources.
Sets long-term and short-term goals.
Effectively organizes resources and plans
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
Helps employees to think through alternative ways to resolve conflict situations.
Clearly expresses expectations to others.
Deals effectively with employee grievances.
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
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
Makes plans and follows through.
Able to identify the needs of the department before a major change.
Anticipates obstacles and ways to overcome them.
Works in an organized manner
Delegates role to team members to accomplish goals.
Please feel free to provide any comments to help explain your answers?