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
Secures the employees' agreement and commitment prior to implementing changes to prevent resistance.
Assumes new and difficult challenges and manages them as opportunities.
Establishes the sequence of tasks, taking into account dependencies.
Uses charting tools to identify patterns in data.
Asks the "right" questions to size up or evaluate situations.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the Company's efforts to implement changes.
Effective in implementing new organizational vision and values.
Addresses organizational and departmental resistance to changes.
Effective in dealing with ambiguous and challenging situations.
Is a leading force driving changes.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts plans and procedures.
Is flexible and open minded in dealing with others.
Adjusts priorities to the new Corporate mission.
Adapts to diversity within the team.
Effective in working with different personnel of the team.
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.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
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
Is diligent about properly documenting disciplinary actions.
Maintains disciplinary policy and fair enforcement of work rules
Schedules follow up meetings if employee's performance is below average.
Measures job performance fairly using established criteria.
Adopts a measured approach to resolving workplace issues, ensuring that actions are not taken hastily.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops effective plans to deal with unforeseen circumstances.
Sets the appropriate sequence of tasks to efficiently achieve the goal.
Assigns the right tasks to the right people and holds them accountable.
Develops proper plans to ensure seamless flow of materials through logistics.
Anticipates the impacts of strategic plans.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes data to meet the needs of clients.
Able to dissect a problem into its core elements.
Organizes data in a way that simplifies its interpretation and comparisons.
Understands complex issues and problems.
Identifies the part of the business value chain that is affected by a particular decision or action, diagnoses the situation, and prioritize what needs to be done and who needs to be involved.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Is knowledgeable of procedures or systems necessary for the job.
Seeks information from others as needed.
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops partnerships with senior leaders in the company.
Finds common ground with a wide range of stakeholders.
Regularly schedules coffee chats or informal meetups to deepen personal connections.
Can perform a risk assessment to show a balanced view of the partnership's potential outcomes.
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: