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Problem Solving - 360 Degree Feedback Survey Sample #6





360-Degree Assessment Survey

Questionnaires Measuring Problem Solving:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
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
  1. Sets realistic deadlines for each action step and for the overall completion of the solution.
  1. Gathers input from various team members helps to ensure that the problem is fully understood from all angles, reducing the risk of oversight.
  1. Solicits information about the problem from team members.
  1. Ensures that critical aspects of the solution to the problem are well-supported and less likely to encounter issues.
  1. Develops and implements clear guidelines and protocols for handling tasks.


Juggling Multiple Responsibilities

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Can multitask while performing all of their other responsibilities and activities.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
  1. Organizes tasks for the most efficient order of completion.
  1. Coordinates the work of a team by assigning tasks to other team members.


Accountability

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Understands the importance of holding employees accountable for their work.
  1. Regularly completes tasks on time.
  1. Requires employees to submit monthly reports of the work they performed.
  1. Takes responsibility for their actions and admits mistakes openly.
  1. Consistently follows through on commitments and promises.


Integrity

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is deeply committed to making decisions that benefit the department and organization overall.
  1. Consistently demonstrates a high degree of integrity, whether in public or in private.
  1. Takes responsibilities seriously and is dedicated to maintaining a high reputation and also the reputation of the department and organization.
  1. Fosters a culture of professionalism and mutual respect.
  1. Fosters an environment built upon trust.


Feedback

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Engages with team members to allow for a better understanding of on-the-ground realities and operational issues.
  1. Provides feedback to others that includes both their strengths and weaknesses.
  1. Assists employees in using their feedback to create clear and manageable goals that align with their professional development plans.
  1. Schedules regular check-ins to ensure feedback is ongoing, even between formal reviews.
  1. Ensures that the feedback is related to the recipient's role and responsibilities.


Managing Risk

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Performs regular risk analyses to minimize adverse outcomes.
  1. Identifies opportunities that may be created by taking specific risks.
  1. Understands the possible financial risks of different events.
  1. Communicates the protocols.
  1. Is responsible for regulatory, strategic, operational and project risk management.


Safety

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Committed to safety in the workplace.
  1. Develops a strong safety culture.
  1. Encourages others to work safely.
  1. Participates in safety training when available.
  1. Commits adequate resources toward safety measures.


Client Focus

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Anticipates resources needed to meet the client needs.
  1. Gets feedback from the client on a weekly basis.
  1. Focuses on providing excellent client service.
  1. Exhibits a positive attitude even when dealing with difficult clients.
  1. Competent in managing client projects.


Negotiation

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Sets and maintains firm negotiating limits and boundaries.
  1. Able to adapt to changing situations.
  1. Alters plans to respond to immediate challenges.
  1. Demonstrates confidence in own position and can influence the other party's perception of proposals being offered.
  1. Understands the current situation of both parties.


Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Treats others with respect and dignity.
  1. ...treats others with respect and dignity.
  1. Respects the opinions of other employees.
  1. Includes others in the decision making processes.
  1. Able to see issues from others' perspectives.


Company

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Monitors resource utilization to ensure cost-effectiveness without compromising quality.
  1. Supports [Company]'s marketing efforts.
  1. Ensures safety and security on the various campuses.
  1. Empowers employees to participate in volunteer efforts and community service programs.
  1. Connects individual roles to the broader mission of the organization, reinforcing a sense of impact.



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






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.