Problem Solving - 360 Degree Feedback Survey Sample #11





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.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Problem Solving

What does Problem Solving mean?
It means that ...
  • You identify and assess all potential responses to a problem.
  • You understand the root causes of problems.
  • You are a good problem solver and decision maker
  • You implement effective solutions to critical problems.
  • You can develop innovative solutions to problems.

To what extent does this person exhibit Problem Solving?
Select from one of the ratings below.

Change Management

What does Change Management mean?
It means that ...
  • You address organizational and departmental resistance to changes.
  • I inspire others to accept the recent changes.
  • You support the Company's efforts to implement changes.
  • You work cooperatively with others to implement changes.
  • You assist others in understanding changes to the organization.

To what extent does this person exhibit Change Management?
Select from one of the ratings below.

Self Management

What does Self Management mean?
It means that ...
  • You do not allow own emotions to interfere with the performance of others.
  • You step away from a situation to process appropriate response.
  • You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  • You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  • You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.

To what extent does this person exhibit Self Management?
Select from one of the ratings below.

Continual Learning

What does Continual Learning mean?
It means that ...
  • You pursue professional development opportunities when they arise.
  • You share best practices with others and learn from others.
  • You set relevant learning objectives and goals.
  • You grasp new ideas, concepts, technical, or business knowledge.
  • You seek opportunities to grow in skills and knowledge.

To what extent does this person exhibit Continual Learning?
Select from one of the ratings below.

Global Perspective

What does Global Perspective mean?
It means that ...
  • You cooperate with others on a global scale.
  • You form strong client relationships with international partners.
  • You apply knowledge of overseas markets.
  • You are able to work with individuals having different backgrounds and cultures.
  • You respect individual differences.

To what extent does this person exhibit Global Perspective?
Select from one of the ratings below.
Strengths


Areas for Development


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