Problem Solving - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Able to balance the needs of different people in a solution to a problem.
Makes judgments based upon relevant information.
Understands the root causes of problems.
Ability to solve problems at root cause rather than at symptom level.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to get department employees to accept new changes.
Inspires others to accept changes.
Works cooperatively with others to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Adopts changes to set and example for others to follow.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Learns from personal experiences and/or mistakes.
Easily accepts new responsibilities.
Is flexible when dealing with changes.
Adapts to diversity within the team.
Recognizes and implements changes to enhance efficiency and effectiveness.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to express themselves clearly.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers non-monetary rewards as incentives for employees.
Coaches subordinates in how to make good decisions.
Provides direction and coaching to employees.
Maintains professional interactions with peers, customers, and employees.
Provides training on equipment as needed.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to follow the plan.
Conducts regular assessments of the project status to ensure adherence to the set schedule.
Determines the steps required for completion of a task.
Makes strategic and tactical decisions to guide the logistics process.
Anticipates the impacts of strategic plans.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies problems and issues needing resolution.
Identifies the root cause of a problem.
Analyzes issues and reduces them to their component parts.
Uses appropriate techniques to solve problems.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Knows how to produce high quality products/work.
Seeks information from others as needed.
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares his/her technical expertise; sought out as resource by others
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Partners with peers to obtain influence within the Company.
Seeks to reduce institutional roadblocks to information sharing.
Creates the conditions for partnerships to grow and develop.
Seeks an understanding of diverse functions within the Company.
Supports a partnering/networking culture.

46. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




47. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


48. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    


49. What changes do you see [Company] making in order to raise the standards?
    
    


50. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


51. What do you like best about working for [Company]?
    
    


52. What do you like least about working for [Company]? How could it be improved?
    


93. Use the space below to enter any final comments you would like to be noted: