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
Able to balance the needs of different people in a solution to a problem.
Is a good problem solver and decision maker
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Effective in solving problems.
Generates alternative solutions to problems and challenges.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is an inspiration for others to accept the recent changes.
Works cooperatively with others to implement changes.
Able to get department employees to accept new changes.
Inspires others to want to change.
Facilitates change with minimal resistance.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Is open to changes in policies and procedures.
Adapts to new environments.
Adjusts priorities to changing business goals.
Continually trying to improve skills to remain current.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coaches and mentors others to achieve higher performance levels.
Willing to consider a spectrum of disciplinary measures, ranging from formal warnings to unpaid leave.
Emphasizes constructive discipline strategies, prioritizing the development and feedback of employees over punitive measures.
Treats all staff equitably.
Offers non-monetary rewards as incentives for employees.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates challenges and has plans to overcome them.
Reorders the schedule of events to maximize attendance/efficiency.
Develops effective plans to deal with unforeseen circumstances.
Develops plans to help manage expectations and project demands.
Has developed an effective strategic plan.
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.
Balances risks and costs with the rewards and probabilities of success when decisions.
Selects the appropriate techniques for analysis.
Identifies opportunities for progress and innovation.
Identifies the root cause of a problem.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willingly shares his/her technical expertise; sought out as resource by others
Willingly shares information and expertise; sought out as resource by others
Demonstrates mastery of the technical competencies required in his/her work.
Knows how to produce high quality products/work.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies the right alliance partners with complementary and compatible services and resources.
Collaborates with other companies to inject capital in exchange for equity, fostering growth and expansion for the partner organization.
Is an active member of professional associations or professional groups to stay connected with peers.
Develops trust in others to form partnerships and networks.
Regularly schedules coffee chats or informal meetups to deepen personal connections.

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: