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

• Solves problems that require several different criteria or constraints.
• Identifies fresh approaches and shows a willingness to question traditional assumptions.
• Evaluates whether the necessary resources (budget, personnel, time, technology) are available to implement each solution.
• Chooses a diverse group with relevant expertise and perspectives for a brainstorming session.
• Gathers input from various team members helps to ensure that the problem is fully understood from all angles, reducing the risk of oversight.

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

Comments:

Action

• Takes action when opportunities arise.
• Fixes small issues before they become critical incidents.
• Does not procrastinate when there is a job to be done.
• Prevents small issues from becoming critical incidents.
• Works quickly to get the job done.

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

Comments:

Performance

• ...Produce Quality
• Shown significant improvement in job performance.
• Able to organize work.
• Sets a high standard for job performance.
• Effectively organizes resources and plans

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

Comments:

Cultural Awareness

• Is responsive to individuals from other cultures.
• Views diversity as a strength, not as an issue.
• Is willing to include individuals with different cultural backgrounds on the team.
• Develops skills and attitudes to bridge cultural differences.
• Is aware of the similarities and differences among and between cultural groups.

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

Comments:

Entrepreneurship

• Maintains a high level of energy to respond to demands of the job.
• Able to adapt the department to changing business demands and climate.
• Understands the processes and various stages of business development.
• Encourages risk taking for developing potential business opportunities.
• Exhibits determination and passion in completion of goals.

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.