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
Ability to develop innovative solutions to problems.
Ability to solve problems at root cause rather than at symptom level.
Actively seeks the root cause of a problem.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Understands the root causes of problems.
Effective in solving problems.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Uses established goals and performance measures to keep track of performance.
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Follows-up and takes action when goals are not met to ensure better results in the future.
Completes work to a high technical standard
Establishes stretch goals to advance skills and output.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Adopts the implementation of new technology into the workplace.
Maximizes the use of new technology to deliver products and services.
Proficient in the use of technical systems and processes.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Looks for opportunities to enhance contributions to the bottom line.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Understands & contributes to development of strategic goals.
Understands their role within the organization.
Communicates goals and objectives to employees.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Steps away from a situation to process appropriate response.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes interpersonal problems instead of reacting to them.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Does not allow own emotions to interfere with the performance of others.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the vision of the Company and promotes it ahead of any self-interests.
Expresses the Company vision in a way that is easily understood and adopted by employees.
Creates a positive vision of the future for the Company.
Demonstrates consistency between words and actions
Communicates a vision of where the Company needs to be in the future.
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.