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.

---

Edit this Survey

Would you like to edit this survey? Click here to begin.

Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts a meticulous investigation of incidents to ensure no possible cause is overlooked.
Determines what facts are relevant.
Demonstrates flexibility in problem-solving with a diverse array of methods and resources suited to various scenarios.
Able to meet the needs of different constituents in the solution of a problem.
Able 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
Inspires others to accept changes.
Inspires others to want to change.
Supports the Company's efforts to implement changes.
Works cooperatively with others to implement changes.
Addresses organizational and departmental resistance to changes.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops insights and applies innovative solutions to projects and problems.
Adjusts plans to meet new situations.
Works effectively in dynamic and changing work environments.
Is flexible and open minded in dealing with others.
Able to quickly learn new ways of performing their job.
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.
Able to understand others' points of view.
Is able to control their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to manage their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Asks employees for their ideas and opinions.
Determines the training and development needs of employees and staff.
Has a strong work ethic that inspires others.
Provides feedback that is aligned with performance expectations.
Seeks to enhance the performance of employees under their supervision.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops plans to help manage expectations and project demands.
Closely follows the plan established for the department.
Determines the amount of materials/supplies needed for the project.
Open to input from others into the plan for the project.
Accomplishes major tasks by breaking them into manageable pieces.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Evaluates evidence impartially, especially when it challenges existing beliefs or ideas.
Examines patient orders to determine the proper dosage of medicines.
Optimizes limited resources, such as time and money, by finding the most efficient solutions to problems.
Examines how the new software will affect workflows, employee morale, customer interactions, and long-term scalability.
Reviews contractual documents for clauses and specifications to ensure binding agreements are free from disputes.
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.
Knows how to produce high quality products/work.
Is knowledgeable of procedures or systems necessary for the job.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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
Supports a partnering/networking culture.
Able to highlight both the strategic benefits and potential pitfalls in collaboration.
Effectively develops networks with colleagues that have shared interests.
Partners with supply chain companies to enhance availability of resources and material.
Can perform a SWOT analyses (Strengths, Weaknesses, Opportunities, Threats) of the partnership's potential outcomes.

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: