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
Is a good problem solver and decision maker
Ability to develop innovative solutions to problems.
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Works cooperatively with others to solve problems.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
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.
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.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Defines roles, rights, and responsibilities of the team.
Can be counted on to do what they say they are going to do.
Takes responsibility for results.
Holds team accountable to meeting goals.
Acts like an owner when they make decisions.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters an environment built upon trust.
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is easy to approach with ideas and opinions.
Open to the suggestions of others.
Considers other's opinion and suggestions.
Looks to others for input.
Shares past experiences with others as learning opportunities.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds appropriately to unexplained or unanticipated events.
Effectively responds to critical situations to reduce potential for losses.
Able to adapt quickly to changing situations.
Seeks to maintain the long-term viability of the Company.
Works within constraints of the organization.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in safety training as applicable.
Ensures that all supervisors are aware of regulatory and compliance measures.
Creates accurate and effective measures of safety.
Develops a sustainable safety culture.
Mitigates hazards and safety issues that arise.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with clients.
Forms strong client relationships
Looks for opportunities that have a positive impact on Clients.
Obtains feedback to ensure client needs are being met.
Is pro-active in dealing with clients and addressing their needs.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Leverages relationships with others to achieve goals.
Able to influence others to accept certain positions.
Maintains good interpersonal relationships with representatives from the other party.
Maintains communication channels between parties in the negotiation.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Constructively receives criticism and suggestions from others.
Treats others with respect and dignity.
Respects the opinions of other employees.
Helpful
Works effectively with people from other departments.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Follows existing procedures and processes.
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.