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
Able to balance the needs of different people in a solution to a problem.
Understands the root causes of problems.
Effective in solving problems.
Ability to develop innovative solutions to problems.
Makes judgments based upon relevant information.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to get department employees to accept new changes.
Is a leading force driving changes.
Effective in dealing with ambiguous and challenging situations.
Able to get team members to change their attitudes.
Works cooperatively with others to implement changes.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Will stop what they are doing to help colleagues in need.
Continually trying to improve skills to remain current.
Is aware of changes to the policies and procedures.
Able to work effectively with new people and new teams.
Accommodates changes as needed.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to manage their own emotions.
Able to understand others' points of view.
Is able to control their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Delegates effectively.
Conducts regular performance management sessions.
Resolves disputes in a way that quickly reaches mutual agreement.
Maintains an even temper in stressful situations.
Provides detailed feedback to employees.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Schedules staff based on seasonal needs.
Determines the amount of materials/supplies needed for the project.
Makes plans and follows through.
Establishes and monitors timeframes and timelines.
Determines staffing needs for the project/department.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes issues and reduces them to their component parts.
Balances risks and costs with the rewards and probabilities of success when decisions.
Analyzes data and information from several sources and arrives at logical conclusions.
Prioritizes various actions to be taken when solving a problem.
Identifies the root cause of a problem.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is knowledgeable of procedures or systems necessary for the job.
Seeks information from others as needed.
Knows how to produce high quality products/work.
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares information and expertise; sought out as resource by others
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Partners with peers to obtain influence within the Company.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Supports and encourages relationships that are created by diverse team members.
Seeks an understanding of diverse functions within the Company.
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: