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 .

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Problem Solving	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Evaluates potential solutions based on cost, feasibility, and probability of success.
Makes judgments based upon relevant information.
Is able to isolate the main problem.
Gathers input from various team members helps to ensure that the problem is fully understood from all angles, reducing the risk of oversight.
Generates a wide range of possible solutions.
Engages employees in the decision-making process to ensure their support before introducing a solution to a major problem.
Conducts a cost-benefit analysis for each solution to determine its financial viability and potential return on investment.
Solves problems at root cause rather than at symptom level.
Encourages the sharing of information, concerns, and ideas to prevent problems from being overlooked.
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
Able to organize work.
Effectively organizes resources and plans
Sets a high standard for job performance.
Effective in performing his/her job.
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
Builds relationships with suppliers to improve communications and reduce misunderstandings and delays.
Defines shared goals with the committee members.
Uses digital tools to support collaborative efforts in document creation?
Creates an environment to support free exchange of information.
Develops networks and builds alliances with employees throughout the company.
Builds and strengthens relationships to improve collaboration and leadership.
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
Summarizes or paraphrases the current question to confirm understanding.
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Listens attentively and responds thoughtfully, showing they value the conversation.
Confidently communicates across all organizational levels, including external stakeholders.
Faces the person when speaking or listening to engage in direct communication.
Recaps action steps from meetings to ensure clarity and execution.
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
Selects strategies according to the demands of the situation.
Creates personalized training schedules, offering various learning formats (like virtual and in-person sessions), and provides tailored training resources.
Able to change or adjust processes to accommodate changes in equipment or supplies.
Is open to and values diverse perspectives.
Agile and versatile when dealing with issues.
Is able to change their approach to solving a problem based on new information.
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 at a quick pace.
Takes corrective action when necessary.
Focuses on tasks without being distracted.
Ensures timely completion of tasks.
Avoids procrastination.
Avoids "Analysis Paralysis" through action.
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
Is willing to include individuals with different cultural backgrounds on the team.
Views diversity as a strength, not as an issue.
Understands how implicit biases can affect decisions, communication and productivity.
Understands how their own cultural background can impact the way they communicate and interact with others.
Supports and mentors others that may have different cultural backgrounds.
Recognizes individual and cultural differences.
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
Finds unique ways to go around barriers to success.
Is comfortable operating in an environment of uncertainty.
Exhibits determination and passion in completion of goals.
Seeks and utilizes mentors to help guide professional development.
Devotes a certain amount of time and effort to developing new business opportunities.
Maintains a high level of energy to respond to demands of the job.
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.