Problem Solving - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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
Is a good problem solver and decision maker
Solves problems using logic and insight.
Ability to develop innovative solutions to problems.
Identifies and assesses all potential responses to a problem.
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
Adopts changes to set and example for others to follow.
Supports new initiatives for organizational changes to improve effectiveness.
Addresses organizational and departmental resistance to changes.
Supports the Company's efforts to implement changes.
Assists others in understanding changes to the organization.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Recognizes and implements changes to enhance efficiency and effectiveness.
Develops insights and applies innovative solutions to projects and problems.
Flexible and open to new ideas and encourages others to value change.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to express themselves clearly.
Is able to manage their own emotions.
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides constructive, ongoing feedback.
Treats all staff equitably.
Promotes teamwork and cooperation within the department.
Maintains good working relationships with employees.
Is aware of the unique strengths of each employee.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Delegates role to team members to accomplish goals.
Able to identify the needs of the department before a major change.
Makes plans and follows through.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Anticipates obstacles and ways to overcome them.
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.
Uses appropriate techniques to solve problems.
Actively seeks constructive feedback from others.
Identifies the root cause of a problem.
Asks the "right" questions to size up or evaluate situations.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Knows how to produce high quality products/work.
Willingly shares his/her technical expertise; sought out as resource by others
Willingly shares information and expertise; sought out as resource by others
Is knowledgeable of procedures or systems necessary for the job.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Creates value within the Company by building networks.
Partners with peers to obtain influence within the Company.
Collaborates with others to accomplish goals and objectives.
Develops a sense of trust in subordinates so they can freely interact and share information with others.

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: