Problem Solving - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Problem Solving	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Is a good problem solver and decision maker
Finds creative ways to get things done with limited resources.
Ability to solve problems at root cause rather than at symptom level.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Professional Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Keep themselves up-to-date of technical/professional issues
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for continuous learning.
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive work environment.
Contributes to a positive and fun work environment.
Builds open and trusting relationships.
Is gracious and professional in their interactions with others.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies root causes of problems.
Analyzes records and reports to obtain insight into potential issues and trends.
Works with others to develop insights into the resources and actions required to produce desired results.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Recognizes the needs of customers.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Devotes a certain amount of time and effort to developing new business opportunities.
Able to adapt the department to changing business demands and climate.
Excellent at managing relationships with stakeholders.
Encourages risk taking for developing potential business opportunities.
Can work effectively in an environment of uncertainty.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Planning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Prioritizes tasks based on urgency/need.
Open to input from others into the plan for development of the strategic plan.
Develops effective plans to deal with unforeseen circumstances.
Ensures everyone in the department is onboard with the current plan.
Anticipates challenges and has plans to overcome them.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.