Problem Solving - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

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Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Involves the department in the problem-solving process to foster a sense of collective responsibility and investment in the outcome.
Encourages team members to suggest ways to enhance efficiency, reduce waste, and prevent potential problems.
Identifies all stakeholders who need to be kept informed about the action plan and its progress.
Is a good problem solver and decision maker.
Flexible and willing to adjust their approach when new information or changes in the environment arise.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes multiple tasks simultaneously.
Assesses current capabilities before committing to new requests from customers.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Can multitask while performing all of their other responsibilities and activities.
Plans and organizes continuously while performing all other responsibilities and activities.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for errors in the production line.
Tackles issues head on and finds solutions.
Expects employees to accept the consequences of their actions.
Can be counted on to do their role well.
Acts like an owner when they make decisions.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Protects the integrity and confidentiality of information
Establishes relationships of trust, honesty, fairness, and integrity.
Maintains strong relationships with others.
Develops trust and confidence from others.
Accepts responsibility for mistakes.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Accepts the views of others.
Shares past experiences with others as learning opportunities.
Is visible and approachable.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is knowledgeable of standard risk management principles.
Takes steps to reduce the occurrence of the risk events.
Creates a risk management strategy for the department.
Turns risks into opportunities for advancement.
Fosters an awareness and a shared responsibility for managing risk at all levels of the Company.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps accurate safety records.
Works to implement corrective safety measures.
Creates accurate and effective measures of safety.
Seeks to reduce the likelihood of accidents.
Develops a strong safety culture.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates problems that the client may encounter.
Creates innovative solutions for the clients.
Is aware of what the client wants to receive.
Is competent in handling client cases.
Looks for opportunities that have a positive impact on Clients.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays well-informed about the issues and priorities.
Stays composed and counters aggressive negotiation tactics by reframing unreasonable proposals or actions.
Does what it takes to ensure that the final agreement aligns with core interests.
Creates a decisive, team-oriented environment; clarifies goals; and outlines a strategic agenda.
Clearly understands the interests and choices of both parties.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...treats others with respect and dignity.
Includes others in the decision making processes.
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Helpful
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
58. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
59. Additional comments, if any for [Participant Name Here]'s assessment.