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
Ability to develop innovative solutions to problems.
Able to balance the needs of different people in a solution to a problem.
Makes judgments based upon relevant information.
Identifies and assesses all potential responses to a problem.
Ability to solve problems at root cause rather than at symptom level.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Makes sure that team members have a clear idea of our group's goals.
Goal Setting
Understands & contributes to development of strategic goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Maximizes the use of new technology to deliver products and services.
Proficient in the use of technical systems and processes.
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Understands and is committed to implementing new technologies.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates sincerity in actions with others.
Follows tasks to completion.
Establishes relationships of trust, honesty, fairness, and integrity.
Develops trust and confidence from others.
Maintains strong relationships with others.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Contributing fully to the extent of their skills
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Committed to safety in the workplace.
Develops safety guidelines for the department.
Participates in safety training as applicable.
Identifies and addresses safety needs.
Supports our company's safety programs.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Establishes good working relationships with others.
Able to say "no" when it is essential to maintaining quality and high standards.
Able to adapt to changing situations.
Influences others through rational argument and persuasion.
Able to influence others to accept certain positions.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Constructively receives criticism and suggestions from others.
Respects the opinions of other employees.
Consistently demonstrates ability and willingness to trust others.
Treats others with respect and dignity.
Helpful
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Behaves in a way that is consistent with business values & code of conduct
Develops action plans to align his/her work with the goals of the organization
Creates a common vision for others.
Works to support the strategy of [Company]
Demonstrates consistency between words and actions

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.