Problem Solving - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

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.

To what extent does [Participant Name] exhibit the following ...

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

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Problem Solving

• Invests in training and development programs to equip team members with the skills and knowledge they need to identify and solve problems effectively.
• Measures the solution's impact on the desired outcomes and identifyies any deviations from the expected performance.
• Solves problems at root cause rather than at symptom level.
• Compares the proposed solutions against each other and against any existing solutions to determine which one is likely to yield the best results.
• Ensures that team members have the necessary training and are informed about best practices and procedures.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Action

• Addresses performance issues quickly.
• Gladly accepts new challenges and works on them with urgency.
• Takes steps to prepare for the start of the project.
• Takes responsibility for meeting performance standards.
• Looks for extra ways to help the department achieve performance goals.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Performance

• Shown significant improvement in job performance.
• Effectively organizes resources and plans
• ...Produce Quality
• Able to organize work.
• Listens and responds to issues and problems

Needs Improvement		Fully Proficient		Excels/ Role Model
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Comments:

Cultural Awareness

• Is aware of cultural differences in business etiquette.
• Views diversity as a strength, not as an issue.
• Seeks knowledge and information about other cultures.
• Avoids referring to stereotypes about others from different cultures.
• Seeks opportunities to learn about the other cultural backgrounds of colleagues.

Needs Improvement		Fully Proficient		Excels/ Role Model
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Comments:

Entrepreneurship

• Excellent at managing relationships with stakeholders.
• Finds unique ways to go around barriers to success.
• Understands the processes and various stages of business development.
• Takes the initiative to complete tasks.
• Able to adapt the department to changing business demands and climate.

Needs Improvement		Fully Proficient		Excels/ Role Model
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Comments:

Strengths


Areas for Development


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