Problem Solving - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
Effective in solving problems.
Ability to solve problems at root cause rather than at symptom level.
Finds creative ways to get things done with limited resources.
Able to balance the needs of different people in a solution to a problem.
Implements effective solutions to critical problems.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Makes sure that team members have a clear idea of our group's goals.
Makes sure that I have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Goal Setting
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Uses technology in decision making and problem solving.
Understands and is committed to implementing new technologies.
Maximizes the use of new technology to deliver products and services.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates sincerity in actions with others.
Does what was promised.
Follows tasks to completion.
Accepts responsibility for mistakes.
Maintains strong relationships with others.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Seeks opportunities for continuous learning.
Seeks opportunities for professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
Encourages employees to take courses relevant to their job.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Develops a sustainable safety culture.
Participates in safety training when offered.
Committed to safety in the workplace.
Develops a culture of safety.
Supports safety programs and procedures.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Leverages relationships with others to achieve goals.
Maintains good interpersonal relationships with representatives from the other party.
Establishes good working relationships with others.
Able to influence others to accept certain positions.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Is able to see issues from others' perspectives.
Respects the opinions of other employees.
Treats others with respect and dignity.
...treats others with respect and dignity.
Works across boundaries within the organization.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Understands the vision of the Company and promotes it ahead of any self-interests.
Persuades others to follow the Company's vision.
Works to support the strategy of [Company]
Demonstrates consistency between words and actions
Expresses the Company vision in a way that is easily understood and adopted by employees.

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

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.