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.

---

Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works cooperatively with others to solve problems.
Generates alternative solutions to problems and challenges.
Actively seeks the root cause of a problem.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Understands the root causes of problems.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assists others in understanding changes to the organization.
Able to get team members to change their attitudes.
Facilitates change with minimal resistance.
Develops plans for following through on the changes.
Supports new initiatives for organizational changes to improve effectiveness.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts priorities to the new Corporate mission.
Effective in working with different personnel of the team.
Responds quickly to new information.
Able to step in and help co-workers when needed.
Adjusts plans and procedures.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shows consistency between what they say and do.
Is fair and equitable in enforcement of work rules.
Always remains calm and professional even in stressful situations.
Appropriately recognizes and rewards employees.
Gives employees the ability to complete their tasks as they see fit.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Creates a timeline to specify when each phase of the project should be concluded.
Always has a "Plan-B" ready if needed.
Determines staffing needs for the project/department.
Accurately estimates the duration of tasks.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Selects the appropriate techniques for analysis.
Analyzes data and information from several sources and arrives at logical conclusions.
Prioritizes various actions to be taken when solving a problem.
Balances risks and costs with the rewards and probabilities of success when decisions.
Implements data validation techniques and methods.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares information and expertise; sought out as resource by others
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.
Seeks information from others as needed.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Hosts forums, colloquiums, and seminars to share information and ideas.
Able to highlight both the strategic benefits and potential pitfalls in collaboration.
Establishes collaborative business relationships to unlock and enhance growth opportunities.
Collaborates with others to accomplish goals and objectives.
Facilitates cross-functional collaboration and information sharing between various stakeholders.

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: