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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Thank you for your participation in the survey.

Management Team

Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works cooperatively with others to solve problems.
Finds creative ways to get things done with limited resources.
Ability to solve problems at root cause rather than at symptom level.
Actively seeks the root cause of a problem.
Generates alternative solutions to problems and challenges.
Understands the root causes of problems.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Holds others to high standards of achievement.
Demonstrates improvement in performance.
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Highly motivated to achieve or exceed performance standards.
Allocates resources as needed to accomplish organizational goals.
Sets ambitious standards of performance.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maximizes the use of new technology to deliver products and services.
Proficient in the use of technical systems and processes.
Supports employee training and development initiatives regarding implementation of technology.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a vision for the organization based on how the organization should appear in the future.
Sets strategic objectives to be achieved.
Creates a mission statement describing the purpose for the organization.
Reinforces the strategic messaging in various teams, meetings, seminars and workshops.
Crafts and executes strategies to advance the company.
Makes sure employees understand the strategy and goals.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes interpersonal problems instead of reacting to them.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Consciously controls own negative emotions in order to keep team morale up.
Does not allow own emotions to interfere with the performance of others.
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.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates a vision of where the Company needs to be in the future.
Leads employees in new directions.
Creates a positive vision of the future for the Company.
Demonstrates consistency between words and actions
Behaves in a way that is consistent with business values & code of conduct
Develops action plans to align his/her work with the goals of 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.