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 .

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Problem Solving	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Links process improvement and results improvement
Possesses a broad skill set and toolkit to address different challenges effectively.
Gets buy-in from constituents before implementing solutions.
Establishes the issue(s) that have gone wrong or are about to go wrong.
Establish clear, measurable goals that the action plan aims to achieve.
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.
Takes a lot of pride in their work.
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
Keep themselves up-to-date of technical/professional issues
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
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
Contributes to a positive work environment.
Builds open and trusting relationships.
Treats all people fairly and with respect.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive and fun work environment.
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
Implements long-term solutions to problems.
Communicates with employees to find out their needs.
Pursues strategic alliances with valued partners.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Strategically aligns projects to the goals of the company.
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
Finds unique ways to go around barriers to success.
Encourages risk taking for developing potential business opportunities.
Maintains a high level of energy to respond to demands of the job.
Can work effectively in an environment of uncertainty.
Balances risks and rewards when making decisions.
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 and allocates resources.
Encourages others to follow the plan.
Assesses the potential impact of changes to the strategic plan.
Divides complex tasks into smaller steps to measure progress toward a goal.
Determines the amount of materials/supplies needed for the project.
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.