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)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; 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.

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. Identifies and assesses all potential responses to a problem.
  1. Effective in solving problems.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Works cooperatively with others to solve problems.
  1. Is a good problem solver and decision maker
Please feel free to provide any comments to help explain your answers?

Change Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
Usually
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Competency
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Exhibits this
Competency
  1. Supports the Company's efforts to implement changes.
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Effective in implementing new organizational vision and values.
  1. Assists others in understanding changes to the organization.
  1. Effective in dealing with ambiguous and challenging situations.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Is resilient and proactive to help thrive in unpredictable environments.
  1. Able to adapt processes in response to critical incidents that impact the workflow.
  1. Embraces change, values feedback, and is willing to experiment with different methods to find the most effective solutions.
  1. Values and adjusts training to meet diverse learning preferences.
  1. Navigates ambiguity with ease, maintaining focus and productivity amidst uncertainty.
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
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Exhibits this
Competency
  1. Is creative.
  1. Develops solutions to challenging problems.
  1. Creates a lot of new ideas.
  1. Conceives, implements and evaluates ideas.
  1. Inspires creativity in their team.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Seeks clarification to avoid misunderstandings.
  1. Is aware of the similarities and differences among and between cultural groups.
  1. Encourages a work environment where individual differences are valued.
  1. Recognizes individual and cultural differences.
  1. Is sensitive to the similarities and differences that exist between cultures.
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
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Competency
Always
Exhibits this
Competency
  1. Conducts regular progress meetings to ensure adherence to the schedule.
  1. Assigns tasks appropriately.
  1. Follows the company standard procedures for allocating assignments.
  1. Offers non-monetary rewards as incentives for employees.
  1. Provides guidance and support to help employees achieve their goals.
Please feel free to provide any comments to help explain your answers?

Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
Always
Exhibits this
Competency
  1. Effectively organizes resources and plans
  1. Shown significant improvement in job performance.
  1. Effective in performing his/her job.
  1. ...Produce Quality
  1. Listens and responds to issues and problems
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Works toward achieving established goals and objectives.
  1. Organizes and schedules events, activities, and resources.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Able to organize work.
  1. Sets long-term and short-term goals.
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Actively engages both parties to voluntarily collaborate and resolve their differences.
  1. Promotes mutual compromise to achieve conflict resolution.
  1. Promotes employee engagement to reduce tensions and negativity, creating an environment where conflicts are easily managed.
  1. Combines ideas and viewpoints of different team members.
  1. Is responsive to contentious issues.
Please feel free to provide any comments to help explain your answers?

Planning

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
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Competency
  1. Makes plans and follows through.
  1. Regularly makes plans for contingencies.
  1. Assesses the potential impact of changes to the strategic plan.
  1. Closely follows the plan established for the department.
  1. Understands what equipment will be needed for the project.
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.