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Problem Solving - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

Questionnaires Measuring Problem Solving:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results
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Problem Solving

  • Works extra as needed to find the best solution to a problem.
  • Effective problem-solver
  • Chooses a diverse group with relevant expertise and perspectives for a brainstorming session.
  • Conducts a meticulous investigation of incidents to ensure no possible cause is overlooked.
  • Evaluates potential solutions based on cost, feasibility, and probability of success.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?

Accountability

  • Accepts the consequences for their actions.
  • Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
  • Takes responsibility for the team's actions and results.
  • Consistently follows through on commitments and promises.
  • Chooses integrity over convenience.
If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?

Cultural Awareness

  • Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  • Understands the impact that our culture may have on interactions between individuals.
  • Recognizes individual and cultural differences.
  • Understands how implicit biases can affect decisions, communication and productivity.
  • Supports and mentors others that may have different cultural backgrounds.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Project Management

  • Creates a risk management plan and periodically updates it as the project moves forward.
  • Plans and implements responses to potential threats to the success of the project.
  • Identifies the potential risks for each phase of the project.
  • Ensures that the project remains at or under budget.
  • Inspires the project implementation team to achieve success.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?

Achievement

  • Rapidly completes tasks and assignments.
  • Makes use of talents of others to help achieve a high level of performance.
  • Met required benchmarks for the position.
  • Successfully completed the orientation training program.
  • Eliminates bureaucratic barriers to streamline processes.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].






Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.