Problem Solving - 360 Degree Feedback Survey Sample #6

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 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 and . 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

Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to balance the needs of different people in a solution to a problem.
Identifies and assesses all potential responses to a problem.
Works cooperatively with others to solve problems.
Effective in solving problems.
Ability to develop innovative solutions to problems.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can multi-task while performing all of their other responsibilities and activities.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Assesses current capabilities before committing to new requests from customers.
Bounces back from daily crisis, disappointments and frustrations.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of problems or issues that may affect the organization.
Takes responsibility for results.
Acts like an owner when they make decisions.
Takes ownership of mistakes and learns from them.
Defines roles, rights, and responsibilities of employees.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a high standard of ethics and integrity.
Demonstrates honesty and truthfulness at all times.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters an environment built upon trust.
Develops trust and confidence from others.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks others for their ideas and opinions.
Actively seeks feedback from others.
Open to the suggestions of others.
Shares past experiences with others as learning opportunities.
Is easy to approach with ideas and opinions.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works within constraints of the organization.
Knows how to obtain desired results with minimal losses.
Effectively responds to critical situations to reduce potential for losses.
Maintains open communication with other departments.
Able to adapt quickly to changing situations.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Points out behaviors in others that may be unsafe.
Is aware of OSHA safety guidelines.
Encourages others to work safely.
Is not afraid to question a potential safety issue observed in the workplace.
Identifies predictable hazards in the workplace.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Satisfies client needs.
Looks for opportunities that have a positive impact on Clients.
Maintains strong relationships with clients.
Forms strong client relationships
Ensures client commitments and requirements are met or exceeded
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Influences others through rational argument and persuasion.
Is able to decline bad ideas to avoid making poor decisions.
Able to say "no" when it is essential to maintaining quality and high standards.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Respects the opinions of other employees.
Works across boundaries within the organization.
Treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Is able to see issues from others' perspectives.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.

56. Overall, please rate the effectiveness of .
    

    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 's assessment.