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
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Ability to develop innovative solutions to problems.
Solves problems using logic and insight.
Generates alternative solutions to problems and challenges.
Actively seeks the root cause of a problem.
Understands the root causes of problems.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completes work to given time frame and to budget
Uses established goals and performance measures to keep track of performance.
Successfully launched the ABC project.
Increased production by 20 percent.
Is flexible in adjusting priorities to meet the demands of changing situations.
Completed training on the new equipment.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Adopts the implementation of new technology into the workplace.
Supports employee training and development initiatives regarding implementation of technology.
Proficient in the use of technical systems and processes.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets strategic objectives to be achieved.
Creates innovative strategies.
Mobilizes change through executive leadership to implement corporate strategies.
Strategically deploys resources to areas of the greatest need.
Creates values statement to ensure all employees are working under the same guiding principles.
Makes sure employees understand the strategy and goals.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses patience and self-control in working with customers and associates.
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Consciously controls own negative emotions in order to keep team morale up.
Does not allow own emotions to interfere with the performance of others.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a clear and inspiring vision statement that outlines the desired future for the company.
Ensures that work is systematically aligned and coordinated with the organization's vision.
Articulates a vision for the department that is aligned with the division/company's vision.
Enables employees to commit to the departmental vision.
Creates a timeline to fulfill the organization's vision.
Encourages employees to prioritize activities that contribute to the vision.

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.