Problem Solving - 360 Degree Feedback Survey Sample #8

Self-Assessment Instructions

You have been selected to complete a self-assessment questionnaire as part of a 360-degree feedback assessment. 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.

Respond to the assessment form based on your work experiences during the previous 12 months. Your responses will be merged with other people's feedback and presented to you in your on-going development. Comments from others will be shared anonymously, as written.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Problem Solving	Agree	Unsure	Disagree	N/A
You make judgments based upon relevant information.
You identify and assess all potential responses to a problem.
I am skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
You identify fresh approaches and shows a willingness to question traditional assumptions.
You are effective in solving problems.
Innovation	Agree	Unsure	Disagree	N/A
You challenge current procedures to develop other alternatives.
You analyze current procedures and identify opportunities for improvement.
You solve problems with insight and understanding.
You create a safe environment for idea-sharing.
You find creative ways to get things done with limited resources.
Flexibility	Agree	Unsure	Disagree	N/A
You are able to cope with a variety of client needs.
You face the unknown head-on, turning challenges into opportunities for growth and innovation.
You foster an environment that prioritizes adaptability, ongoing enhancement, and creative thinking.
I am flexible in effectively handling changes in production volumes.
You are open to and values diverse perspectives.
Passion To Learn	Agree	Unsure	Disagree	N/A
You hold self and associates accountable for goal achievement.
You enjoy learning new skills and techniques.
You stay up-to-date on emerging technologies.
You will participate in training classes even if offered outside of normal working hours.
You take advantage of training opportunities when they arise.
Cultural Awareness	Agree	Unsure	Disagree	N/A
I seek clarification to avoid misunderstandings.
I function effectively within various cultural contexts.
You are open and honest in communications with individuals from other cultures.
I interact effectively with people from different cultural backgrounds.
You treat others with dignity and respect.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
You help guide employees with prioritizing tasks.
You maintain focus when handling several problems or tasks simultaneously.
You are excellent at managing time.
You make sure that employees understand how their work relates to organizational goals.
You stay focused even when under pressure and stress.
Administrative Skill	Agree	Unsure	Disagree	N/A
You complete reports on-time.
You accurately implement contract provisions.
You have a high attention to detail.
You are able to develop, justify and present a budget.
You have strong technical/computer skills.
Commitment To Result	Agree	Unsure	Disagree	N/A
You maintain persistence and dedication to achieving results.
You are able to focus on a task even when working alone.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You are committed to the team.
You coordinate all department activities into a cohesive team effort.
Objectives	Agree	Unsure	Disagree	N/A
You are able to establish realistic goals.
You consistently provide me with timely feedback for improving my performance.
You communicate goals and objectives to employees.
You set long-term and short-term goals.
You are able to organize work.
Responsible	Agree	Unsure	Disagree	N/A
You are a person others can trust.
You work in a way that makes others want to work with you.
Your behavior is ethical and honest.
You are responsible for setting the vision of the department.
You take personal responsibility for results.
Co-worker Development	Agree	Unsure	Disagree	N/A
You provide ongoing feedback to co-workers on your development progress
You work to identify root causes of performance problems
You take immediate action on poor performance
You adapt coaching and mentoring approach to meet the style or needs of individuals
You set and clearly communicate expectations, performance goals, and measurements to others
Strategic Insight	Agree	Unsure	Disagree	N/A
You ommunicate with employees to find out their needs.
You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
I observe employees at work to get better insight into the issues they are dealing with.
You maintain knowledge of current trends in the industry.
I recognize the needs of customers.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.