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Problem Solving - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Problem Solving:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



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Problem Solving

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Allocates resources strategically to areas with higher risk potential.
  1. Works diligently until the problem is solved.
  1. Develops a schedule and gathers the necessary materials and tools.
  1. Decides which alternative solutions would have the greatest chance of success.
  1. Continuously monitors performance after implementing a solution to ensure it remains effective.
  1. Determines the order in which the action steps need to be completed including steps that may be dependent on others.


Achievement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Successfully completed the orientation training program.
  1. Sets challenging goals for the department.
  1. Driven to complete assignments on time.
  1. Is determined to complete tasks regardless of obstacles that may occur.
  1. Created impactful reports for the re-organization committee.
  1. Works at a quick pace to complete a high volume of work.


Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Proficient in the use of technical systems and processes.
  1. Uses technology in decision making and problem solving.
  1. Supports technical training and development of employees.
  1. Maximizes the use of new technology to deliver products and services.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. 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
  1. Uses strategic thinking to make better strategic decisions.
  1. Makes quick and creative decisions to adjust the strategy to meet the demands of changing situations.
  1. Strategically focuses efforts to improve operational efficiencies.
  1. Able to formulate strategy at the corporate level.
  1. Communicates the company's strategic goals and decisions to teams and departments.
  1. Identifies and focuses resources on strategic growth opportunities.


Self Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Steps away from a situation to process appropriate response.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is able to diagnose issues and problems and to create a vision for their solutions.
  1. Crafts a compelling roadmap for the department's future.
  1. Creates a vision to align employees around a long-term goal for the department.
  1. Provides a detailed schedule that specifies key milestones and deadlines, guiding the organization step-by-step towards achieving its long-term goals and overall vision.
  1. Develops action plans to align his/her work with the goals of the organization.
  1. Designs strategies that mirror the organization's unified vision.



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






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.