Problem Solving - 360 Degree Feedback Survey Sample #12

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

• Is a good problem solver and decision maker
• Finds creative ways to get things done with limited resources.
• Makes judgments based upon relevant information.
• Ability to solve problems at root cause rather than at symptom level.
• Identifies and assesses all potential responses to a problem.

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

Comments:

Action

• Takes advantage of changes to the current situation.
• Takes action to respond to dissatisfied customer.
• Is decisive when making decisions.
• Fixes problems when they occur.
• Starts immediately working on assignments.

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

Comments:

Performance

• Shown significant improvement in job performance.
• Works effectively in the department.
• Effectively organizes resources and plans
• Has great overall performance
• ...Produce Quality

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

Comments:

Cultural Awareness

• Actively listens to other employees' stories about their culture.
• Accepts individual differences.
• Open to learning about different cultures.
• Willing to work with employees who have different cultural backgrounds.
• Recognizes and values individual and cultural differences.

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

Comments:

Entrepreneurship

• Understands the processes and various stages of business development.
• Able to adapt the department to changing business demands and climate.
• Takes the initiative to complete tasks.
• Encourages dynamic growth opportunities.
• Seeks and utilizes mentors to help guide professional development.

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.