Problem Solving - 360 Degree Feedback Survey Sample #11

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.

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 are able to solve problems at root cause rather than at symptom level.
• You are effective in solving problems.
• You can develop innovative solutions to problems.
• You solve problems using logic and insight.
• You are able to balance the needs of different people in a solution to a problem.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Change Management

What does Change Management mean?
It means that ...

• You adopt changes to set and example for others to follow.
• You are effective in dealing with ambiguous and challenging situations.
• You support the Company's efforts to implement changes.
• You address organizational and departmental resistance to changes.
• You support new initiatives for organizational changes to improve effectiveness.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Self Management

What does Self Management mean?
It means that ...

• You use patience and self-control in working with customers and associates.
• You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
• You consciously control own negative emotions in order to keep team morale up.
• You analyze interpersonal problems instead of reacting to them.
• You set an example for associates during stressful periods by maintaining a positive, can-do attitude.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Continual Learning

What does Continual Learning mean?
It means that ...

• You grasp new ideas, concepts, technical, or business knowledge.
• You are open to new ideas and concepts.
• You build on your strengths while addressing your weaknesses.
• You pursue learning that will enhance job performance.
• You share best practices with others and learn from others.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Global Perspective

What does Global Perspective mean?
It means that ...

• You demonstrate working knowledge of global transactions.
• You set the example for team on importance of cultural awareness.
• You apply knowledge of overseas markets.
• You align personal vision with global strategies.
• You consider customers point of view when making decisions.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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