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
Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
Makes judgments based upon relevant information.
Finds creative ways to get things done with limited resources.
Understands the root causes of problems.
Solves problems using logic and insight.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Achieves established goals.
Establishes and documents goals and objectives.
Understands & contributes to development of strategic goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports technical training and development of employees.
Proficient in the use of technical systems and processes.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Accepts responsibility for mistakes.
Follows tasks to completion.
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
Fosters a high standard of ethics and integrity.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
Quickly acquire and apply new knowledge and skills when needed
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Develops a sustainable safety culture.
Is not afraid to question a potential safety issue observed in the workplace.
Mitigates hazards and safety issues that arise.
Participates in safety training as applicable.
Encourages others to attend safety training.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Maintains control over emotions to ensure a constructive environment.
Demonstrates emotional stability to facilitate productive problem-solving and relationship building.
Is prepared to walk away if core interests are not met.
Creates a decisive, team-oriented environment; clarifies goals; and outlines a strategic agenda.
Adjusts methods to suit the current situation.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Constructively receives criticism and suggestions from others.
Respects the opinions of other employees.
...treats others with respect and dignity.
Treats others with respect and dignity.
Forms working relationships with employees from other departments.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Develops strategies that align with the organization's collective vision.
Shapes the department's vision into actionable goals.
Recognizes potential challenges and devises comprehensive strategies to navigate and mitigate these difficulties.
Communicates the vision effectively across the organization to motivate and guide employees.
Creates and executes a strategic vision that drives the company's growth forward.

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.