Problem Solving - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Problem Solving	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Identifies and assesses all potential responses to a problem.
Able to balance the needs of different people in a solution to a problem.
Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
Finds creative ways to get things done with limited resources.
Effective in solving problems.
Ability to solve problems at root cause rather than at symptom level.
Generates alternative solutions to problems and challenges.
Is a good problem solver and decision maker
Ability to develop innovative solutions to problems.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Has great overall performance
...Produce Quality
Effectively organizes resources and plans
...Overall Performance
Listens and responds to issues and problems
Works effectively in the department.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Uses group decision making.
Encourages team members to offer opinions and ideas.
Integrates technology to boost collaborative work on process and policy documentation.
Is comfortable working with employees from different departments/divisions.
Actively engages with team members to foster a cooperative environment.
Regularly seeks feedback from employees on how to improve collaboration and acts on their suggestions.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Uses polite language and shows respect for others' opinions and time.
Produces written content that is both succinct and orderly.
Summarizes or paraphrases the current question to confirm understanding.
Keeps an open-door policy to provide support and guidance.
Uses software, graphics, or other aids to clarify complex or technical reports.
Provides the reasoning behind choices and actions.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Flexibility	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Embraces change and is willing to pivot strategies based on new information.
Is flexible in considering different viewpoints.
Willing to try new approaches to solving problems if the current solution isn't working.
Embraces uncertainty with confidence and creativity to find solutions amidst chaos.
Fosters a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
Balances multiple perspectives to find common ground and innovative solutions.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Works across organizational lines and boundaries to attain goals.
Takes advantage of changes to the current situation.
Changes course to meet the needs of a new situation.
Addresses safety issues immediately.
Gladly accepts new challenges and works on them with urgency.
Takes action to respond to dissatisfied customer.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Avoids referring to stereotypes about others from different cultures.
Functions effectively within various cultural contexts.
Encourages a work environment where individual differences are valued.
Seeks out different viewpoints and benefits from different perspectives.
Is responsive to individuals from other cultures.
Supports and mentors others that may have different cultural backgrounds.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Can work effectively in an environment of uncertainty.
Has a strategic awareness on how to promote the organization.
Encourages dynamic growth opportunities.
Takes the initiative to complete tasks.
Devotes a certain amount of time and effort to developing new business opportunities.
Understands the processes and various stages of business development.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.