Problem Solving - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Ability to solve problems at root cause rather than at symptom level.
Implements effective solutions to critical problems.
Able to balance the needs of different people in a solution to a problem.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Eliminates bureaucratic barriers to streamline processes.
Systematically works to improve the organization
Highly motivated to achieve or exceed performance standards.
Accepts setbacks and challenges as improvement opportunities
Is results oriented.
Is flexible in adjusting priorities to meet the demands of changing situations.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Maximizes the use of new technology to deliver products and services.
Applies complex rules and regulations to maintain optimal system performance.
Proficient in the use of technical systems and processes.
Adopts the implementation of new technology into the workplace.
Uses technology in decision making and problem solving.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes strategic decisions that take into account a dynamic situation.
Communicates the company's strategic goals and decisions to teams and departments.
Aligns projects to the strategic goals of the company.
Maintains a strategic focus to sustain competitiveness in changing business environments.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Detects changes in the environment and updates the strategic plan to address new opportunities or threats.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Uses patience and self-control in working with customers and associates.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes interpersonal problems instead of reacting to them.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Designs a forward-thinking strategy to achieve the department's growth goals.
Creates a timeline to fulfill the organization's vision.
Tasks employees with realizing the vision.
Builds a culture that reinforces the manager's vision.
Charts a bold course for the department's rapid evolution and expansion.
Adept at creating and actualizing a strategic roadmap for the organization.

37. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
38. Strengths
    
    
    
39. Areas for Development
    
    
    
40. Please give any final comments or suggestions for [Participant Name Here]'s assessment.