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.

Problem Solving

• Ability to develop innovative solutions to problems.
• Makes judgments based upon relevant information.
• Works cooperatively with others to solve problems.
• Identifies fresh approaches and shows a willingness to question traditional assumptions.
• Solves problems using logic and insight.

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

Comments:

Action

• Is ambitious when working on the project.
• Acts immediately instead of waiting for someone else to solve the issue.
• Prepares equipment at the start of the shift.
• Will take action to address a problem rather than to wait to confer with others about the situation.
• Takes preemptive actions avoid obstacles or delays.

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

Comments:

Performance

• Listens and responds to issues and problems
• ...Overall Performance
• Has great overall performance
• Works well in this position.
• ...Produce Quality

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

Comments:

Cultural Awareness

• Interacts effectively with people from different cultural backgrounds.
• Is willing to include individuals with different cultural backgrounds on the team.
• Hires individuals with different cultural backgrounds for the department.
• Seeks knowledge and information about other cultures.
• Recognizes and values individual and cultural differences.

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

Comments:

Entrepreneurship

• Encourages risk taking for developing potential business opportunities.
• Able to adapt the department to changing business demands and climate.
• Is comfortable operating in an environment of uncertainty.
• Maintains a high level of energy to respond to demands of the job.
• Has a strategic awareness on how to promote the organization.

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

Comments:

Strengths


Areas for Development


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