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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Management Team

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Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Determines what facts are relevant.
Conducts a meticulous investigation of incidents to ensure no possible cause is overlooked.
Is able to isolate the main problem.
Continuously monitors performance after implementing a solution to ensure it remains effective.
Keeps a positive outlook and perseveres through challenges.
Chooses a diverse group with relevant expertise and perspectives for a brainstorming session.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Moves decisively in high-risk situations to secure long-term achievements.
Defines precise, structured objectives that helps the department progress and holds employees accountable.
Increased revenue for the company.
Maintains a results-oriented mindset.
Eliminates bureaucratic barriers to streamline processes.
Strives to exceed standards of performance.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adopts the implementation of new technology into the workplace.
Maximizes the use of new technology to deliver products and services.
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Strategically positions resources to meet the needs of field based employees.
Strategically positions resources to meet the needs of branch locations.
Strategically deploys resources to areas of the greatest need.
Modifies strategic decisions depending on changes in the business environment.
Creates measures of performance and profitability to assess financial objectives.
Develops strategies to seek new opportunities.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Does not allow own emotions to interfere with the performance of others.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Consciously controls own negative emotions in order to keep team morale up.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Uses patience and self-control in working with customers and associates.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets a schedule for achieving the organization's vision.
Effectively communicates the vision to employees.
Develops action plans to align his/her work with the goals of the organization.
Embodies the vision through consistent actions, setting a visible example for others to follow.
Recognizes potential challenges and devises comprehensive strategies to navigate and mitigate these difficulties.
Develops and executes a strategic vision 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.