Problem Solving - 360 Degree Feedback Survey Sample #9

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.
Solves problems using logic and insight.
Ability to solve problems at root cause rather than at symptom level.
Ability to develop innovative solutions to problems.
Able to balance the needs of different people in a solution to a problem.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Goal Setting
Establishes and documents goals and objectives.
Sets high expectations and goals; encourages others to support the organization.
Understands & contributes to development of strategic goals.
Achieves established goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Supports employee training and development initiatives regarding implementation of technology.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Fosters a high standard of ethics and integrity.
Follows tasks to completion.
Accepts responsibility for mistakes.
Does what was promised.
Demonstrates honesty and truthfulness at all times.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for continuous learning.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to express themselves clearly.
Is able to manage their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Seeks to reduce the likelihood of accidents.
Participates in safety training when offered.
Develops a strong safety culture.
Is not afraid to question a potential safety issue observed in the workplace.
Creates accurate and effective measures of safety.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Leverages relationships with others to achieve goals.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Able to say "no" when it is essential to maintaining quality and high standards.
Influences others through rational argument and persuasion.
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
Treats others with respect and dignity.
Respects the opinions of other employees.
Works across boundaries within the organization.
Works effectively with people from other departments.
Forms working relationships with employees from other departments.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Expresses the Company vision in a way that is easily understood and adopted by employees.
Clearly articulates a vision for his/her work and inspires others to support it
Creates a positive vision of the future for the Company.
Creates a common vision for others.
Develops action plans to align his/her work with the goals of the organization

55. Overall, please rate the effectiveness of .
    

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

    
    
56. Strengths
    
    
    
57. Areas for Development
    
    
    
58. Please give any final comments or suggestions for 's assessment.