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

Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in solving problems.
Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Implements effective solutions to critical problems.
Ability to solve problems at root cause rather than at symptom level.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coordinates the work of a team by assigning tasks to other team members.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Switches attention to more urgent tasks when necessary.
Begins tasks as soon as possible.
Assigns tasks based on skills of team members.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for errors in the production line.
Is prepared and on time for meetings and scheduled events.
Takes responsibility for their actions and admits mistakes openly.
Ensures that employees are compensated fairly and in accordance with established policies.
Keeps supervisor informed of recent events.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates honesty and truthfulness at all times.
Follows tasks to completion.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is visible and approachable.
Seeks feedback to enhance performance.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Accepts the views of others.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses risk data to generate insights and drive strategic decisions.
Determines the amount of deviation from the plan that will be tolerated.
Views risks as potential opportunities for profit.
Works effectively to transfers risk.
Uses risk management to be more effective in identifying and implementing projects.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a culture of safety.
Encourages others to attend safety training.
Develops safety guidelines for the department.
Creates accurate and effective measures of safety.
Ensures that all supervisors are aware of regulatory and compliance measures.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively troubleshoots client issues.
Builds trust with the client.
Fosters an environment that supports strong client focus.
Thoroughly understands the needs of the client.
Creates an environment that enables clients to receive excellent service.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the other person's needs, concerns, and motivations.
Is resolute when stating priorities and non-negotiables.
Stays focused and avoids getting sidetracked by less important issues.
Able to say "no" when it is essential to maintaining quality and high standards.
Assesses the validity and relevance of each piece of information, considering the context and source.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to see issues from others' perspectives.
Constructively receives criticism and suggestions from others.
...treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Includes others in the decision making processes.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands how decisions impact other business units beyond their immediate department of work group.
Impresses upon others the important aspects of [Company].
Understands the use of [Company] products and services.

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.