Problem Solving - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is 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 '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.

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
Implements effective solutions to critical problems.
Ability to solve problems at root cause rather than at symptom level.
Generates alternative solutions to problems and challenges.
Makes judgments based upon relevant information.
Ability to develop innovative solutions to problems.
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
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Is planful and organized.
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
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
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
Treats all people fairly and with respect.
Builds open and trusting relationships.
Works to eliminate unnecessary work or barriers that get in others' way.
Shows by their actions that they trust in the positive intentions of others.
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
Adjusts strategic plans based on insights gathered from different points of view.
Meets with customers to gain insight into their core needs and how best to serve them.
Pursues strategic alliances with valued partners.
Strategically aligns projects to the goals of the company.
Creates values statement to ensure all employees are working under the same guiding principles.
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.
Can work effectively in an environment of uncertainty.
Encourages risk taking for developing potential business opportunities.
Exhibits determination and passion in completion of goals.
Able to adapt the department to changing business demands and climate.
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
Accurately estimates the duration of tasks.
Develops plans used to accomplish urgent or critical tasks.
Is good at planning for the "unexpected".
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Delegates role to team members to accomplish goals.
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.