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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies and assesses all potential responses to a problem.
Works cooperatively with others to solve problems.
Is a good problem solver and decision maker
Makes judgments based upon relevant information.
Ability to develop innovative solutions to problems.
Finds creative ways to get things done with limited resources.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a well-organized and timely approach to achieve desired results
Completes work to given time frame and to budget
Takes reasonable risks to achieve desired results.
Driven to complete assignments on time.
Set high standards in their performance
Is determined to complete tasks regardless of obstacles that may occur.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports technical training and development of employees.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Uses technology in decision making and problem solving.
Maximizes the use of new technology to deliver products and services.
Supports employee training and development initiatives regarding implementation of technology.
Adopts the implementation of new technology into the workplace.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Understands their role within the organization.
Looks for opportunities to enhance contributions to the bottom line.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Uses patience and self-control in working with customers and associates.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
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.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works to support the strategy of [Company]
Persuades others to follow the Company's vision.
Communicates a vision of where the Company needs to be in the future.
Understands the vision of the Company and promotes it ahead of any self-interests.
Leads employees in new directions.
Demonstrates consistency between words and actions

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.