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
Finds creative ways to get things done with limited resources.
Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
Makes judgments based upon relevant information.
Understands the root causes of problems.
Implements effective solutions to critical problems.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Makes sure that I have a clear idea of our group's goals.
Achieves established goals.
Makes sure that team members have a clear idea of our group's goals.
Achieves goals.
Establishes and documents goals and objectives.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Applies complex rules and regulations to maintain optimal system performance.
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Maximizes the use of new technology to deliver products and services.
Adopts the implementation of new technology into the workplace.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates sincerity in actions with others.
Accepts responsibility for mistakes.
Fosters an environment built upon trust.
Establishes relationships of trust, honesty, fairness, and integrity.
Maintains strong relationships with others.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Contributing fully to the extent of their skills
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
Seeks opportunities for continuous learning.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Able to understand others' points of view.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Encourages others to attend safety training.
Supports our company's safety programs.
Creates accurate and effective measures of safety.
Encourages others to work safely.
Participates in safety training as applicable.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Bases arguments on objective standards or criteria, such as market value, legal standards, or expert opinions.
Is aware of what problems need to be solved.
A proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
Persuades the other party of the benefits of our proposals.
Researches the needs of the other party to identify strengths and weaknesses of positions.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Is able to see issues from others' perspectives.
Constructively receives criticism and suggestions from others.
Forms working relationships with employees from other departments.
Includes others in the decision making processes.
Consistently demonstrates ability and willingness to trust others.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Leads with a growth-oriented mindset, driving innovation and expansion.
Delegates the task of implementing the vision to subordinates.
Influences the attitudes and behaviors of subordinates to match the department's vision.
Crafts a compelling roadmap for the department's future.
Develops a vision to empower employees to make more effective decisions.

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.