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
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Competency
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Competency
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  1. Implements effective solutions to critical problems.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Actively seeks the root cause of a problem.
  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
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Competency
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  1. Able to get team members to change their attitudes.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Effective in implementing new organizational vision and values.
  1. Facilitates change with minimal resistance.
  1. Works cooperatively with others to implement changes.
Please feel free to provide any comments to help explain your answers?

Flexibility

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  1. Flexible in effectively handling changes in production volumes.
  1. Able to produce a wide range of products/services to meet demands.
  1. Fosters a culture of flexibility and agility.
  1. Continuously learning and adapting new techniques to address evolving challenges.
  1. Responds positively to unanticipated changes in the work schedule.
Please feel free to provide any comments to help explain your answers?

Creativity

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  1. Conceives, implements and evaluates ideas.
  1. Creates a lot of new ideas.
  1. Develops solutions to challenging problems.
  1. Is creative and inspirational.
  1. Inspires creativity in their team.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

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  1. Respects the views offered by individuals with different cultural backgrounds.
  1. Is sensitive to the similarities and differences that exist between cultures.
  1. Hires individuals with different cultural backgrounds for the department.
  1. Is aware of differences in how individuals from other cultures greet one another.
  1. Understands how implicit biases can affect decisions, communication and productivity.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
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Competency
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Competency
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Competency
  1. Exemplifies professionalism in the workplace.
  1. Demonstrates empathy, respect, and openness to employees.
  1. Holds employees accountable for work assignments.
  1. Provides feedback that is aligned with performance expectations.
  1. Enhances teamwork through good supervision.
Please feel free to provide any comments to help explain your answers?

Performance

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  1. ...Produce Quality
  1. Sets a high standard for job performance.
  1. Effective in performing his/her job.
  1. Listens and responds to issues and problems
  1. Shown significant improvement in job performance.
Please feel free to provide any comments to help explain your answers?

Objectives

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  1. Establishes goals and objectives.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Sets long-term and short-term goals.
  1. Works toward achieving established goals and objectives.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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  1. Investigates opportunities to achieve mutually beneficial solutions to conflicts.
  1. Creates an environment where team members work collaboratively rather than compete with one another.
  1. Is supportive of consensus and power sharing.
  1. Seeks to maintain positive relationships with coworkers.
  1. Works to meet the basic needs of each side in the conflict.
Please feel free to provide any comments to help explain your answers?

Planning

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  1. Plans for how to allocate time to specific activities.
  1. Determines what supplies/equipment will be needed for the project.
  1. Identifies resource requirements that may impact the development of the 5-year plan.
  1. Able to look ahead (beyond the present) when addressing the work/needs of the department.
  1. Encourages others to follow the plan.
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.