360 Assessment Arp

Thank you for participating in this 360 degree feedback assessment survey.

The subject of this survey is Test Subject.


Please read all of the instructions below very carefully.

1) Please read the statements in the assessment form below and rate the subject’s behavior on a 1 to 5 scale. Use the following rating system for each category:
  1. I strongly disagree with the statement. - This means that the subject never exhibits the behavior.
  2. I moderately disagree with the statement. - This means that the subject rarely exhibits the behavior.
  3. I neither agree nor disagree. - This means that the subject sometimes exhibits the behavior, but does so sporadically and without consistency.
  4. I moderately agree with the statement. - This means that the subject exhibits the behavior on most occasions.
  5. I strongly agree with the statement. - This means that the subject always exhibits the behavior.

2) Please answer all questions. Only the comments are optional.

3) Click the "Submit answers" button at the bottom of the form when you are ready to submit the completed assessment form. If you completed the form correctly, you will then see a confirmation page verifying that your assessment was submitted.

4) If you have not answered all questions, the assessment form will reappear with the following message above the questions or sections which were incomplete:

The following question is required.

You must go back through the form and answer any unanswered questions, then click the "Submit answers" button again.

A red asterisk (*) indicates required questions.

1. Please indicate your relationship to the subject of this assessment by choosing one of the categories below. *
I am reporting on myself.
I am this person's boss.
I am another Manager.
I work for this person.
I am someone other than those listed above.

2. Building Effective Teams

Blends people into teams when needed; creates strong morale and spirit in his/her team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.*

        1 2 3 4 5      
  Holds team members accountable for their behaviors and outcomes. Strongly disagree Strongly agree  
  Does not take credit for the accomplishments of the team. Strongly disagree Strongly agree  
  Encourages teamwork and cooperation between departments and coworkers. Strongly disagree Strongly agree  
  Creates an atmosphere of team cooperation over competition. Strongly disagree Strongly agree  
  Uses diverse talents and experience of the group to maximum advantage. Strongly disagree Strongly agree  
  Works collaboratively and cooperatively to achieve common goals. Strongly disagree Strongly agree  
  Seeks out ways to work more effectively with other departments, work areas, and individuals. Strongly disagree Strongly agree  
  Speaks positively of team members. Strongly disagree Strongly agree  
  Communicates the team’s successes to others. Strongly disagree Strongly agree  
  Demonstrates a willingness to pitch in to get the job done. Strongly disagree Strongly agree  

Please add comments.

3. Conflict Management

Steps up to conflicts, seeing them as opportunities; reads situations quickly; good at focused listening; can hammer out tough agreements and settle disputes equitably; can find common ground and get cooperation with minimum noise. *

        1 2 3 4 5      
  Effectively resolves employee problems and conflicts. Strongly disagree Strongly agree  
  Looks for positive outcomes benefiting everyone in a conflict situation. Strongly disagree Strongly agree  
  Is not afraid of conflict. Strongly disagree Strongly agree  
  This person uses conflict as an opportunity for professional growth. Strongly disagree Strongly agree  
  Brings conflict into the open for resolution. Strongly disagree Strongly agree  
  Proactively anticipates and identifies potential conflicts. Strongly disagree Strongly agree  
  Creates effective methods for resolving conflict. Strongly disagree Strongly agree  
  Maintains objectivity when seeking to understand another’s perspective. Strongly disagree Strongly agree  
  Manages his or her emotions effectively during situations involving conflict. Strongly disagree Strongly agree  
  Maintains focus on the situation, issue, or behavior rather than the person in order to resolve conflict. Strongly disagree Strongly agree  

Please add comments.

4. Communication

Openly communicates expectations and goals, uses verbal and nonverbal communication to extend a message, uses communication to establish individual and team performance. *

        1 2 3 4 5      
  Listens well. Strongly disagree Strongly agree  
  Provides clear direction and expectations. Strongly disagree Strongly agree  
  Open to feedback and criticism. Strongly disagree Strongly agree  
  Gives personal attention; is accessible. Strongly disagree Strongly agree  
  Sets clear deadlines. Strongly disagree Strongly agree  
  Communicates reasons for changes and decisions. Strongly disagree Strongly agree  
  Fosters an environment of openness and honesty. Strongly disagree Strongly agree  
  Provides ongoing feedback on performance. Strongly disagree Strongly agree  
  Openly shares work-related information. Strongly disagree Strongly agree  
  Encourages open, honest, and direct communication. Strongly disagree Strongly agree  

Please add comments.

5. Developing Direct Reports

Provides challenging and stretching tasks and assignments; holds frequent development discussions; is aware of each person’s career goals; constructs compelling development plans and executes them; pushes people to accept developmental moves; clearly and comfortably delegates both routine and important tasks and decisions; will take on those who need help and further development; cooperates with the developmental system in the organization; is a people builder. *

        1 2 3 4 5      
  Provides adequate feedback on employee performance. Strongly disagree Strongly agree  
  Is a good coach. Strongly disagree Strongly agree  
  Delegates specific tasks that result in employee growth and development. Strongly disagree Strongly agree  
  Recognizes the value of people with different talents and skills. Strongly disagree Strongly agree  
  Keeps talented people challenged. Strongly disagree Strongly agree  
  Develops bench strength for the future. Strongly disagree Strongly agree  
  Knows employee needs for development. Strongly disagree Strongly agree  
  Delegates authority; encourages independence. Strongly disagree Strongly agree  
  Manages people according to their unique needs. Strongly disagree Strongly agree  
  Provides people with the proper tools and resources to effectively do their jobs. Strongly disagree Strongly agree  

Please add comments.

6. Drive for Results

Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers; very bottom-line oriented; steadfastly pushes self and others for results; measures performance against goals; evaluates results. *

        1 2 3 4 5      
  Strives to meet deadlines. Strongly disagree Strongly agree  
  Pushes him/herself and others for results. Strongly disagree Strongly agree  
  Can fail without fear of getting fired. Strongly disagree Strongly agree  
  Measures performance against goals. Strongly disagree Strongly agree  
  Generates urgency in others. Strongly disagree Strongly agree  
  Sees mistakes as opportunities for improvement and learning. Strongly disagree Strongly agree  
  Recognizes and rewards outstanding performance. Strongly disagree Strongly agree  
  Is able to deal effectively with ambiguity and chaos. Strongly disagree Strongly agree  
  Appropriately challenges “That’s the way things have always been done here.” Strongly disagree Strongly agree  
  Demonstrates open-mindedness and a willingness to be flexible when presented with new ideas. Strongly disagree Strongly agree  

Please add comments.

7. Integrity and Trust

Is widely trusted; is seen as a direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn’t misrepresent him/herself for personal gain. *

        1 2 3 4 5      
  Is widely trusted. Strongly disagree Strongly agree  
  Maintains confidentiality; doesn’t spread rumors. Strongly disagree Strongly agree  
  Doesn’t misrepresent him/herself for personal gain. Strongly disagree Strongly agree  
  Holds him/herself accountable for work outcomes. Strongly disagree Strongly agree  
  Respected by others. Strongly disagree Strongly agree  
  Can be trusted with sensitive information. Strongly disagree Strongly agree  
  Displays honesty, credibility and trustworthiness. Strongly disagree Strongly agree  
  Is dependable, follows through, can be relied upon. Strongly disagree Strongly agree  
  Accepts responsibility for mistakes.  Strongly disagree Strongly agree  
  Shows respect and seeks to understand differences in others’ opinions, values, and work methods. Strongly disagree Strongly agree  

Please add comments.

8. Problem Solving

Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers. *

        1 2 3 4 5      
  Uses others’ expertise to solve problems. Strongly disagree Strongly agree  
  Encourages creativity and brainstorming in the workplace. Strongly disagree Strongly agree  
  Looks at all possible options before deciding on the final solution. Strongly disagree Strongly agree  
  Makes decisions based on business needs rather than personal agenda Strongly disagree Strongly agree  
  Involves employees in decision making. Strongly disagree Strongly agree  
  Exhibits good judgment, makes good decisions. Strongly disagree Strongly agree  
  Recognizes and identifies alternate possible causes for a problem. Strongly disagree Strongly agree  
  Focuses on the most critical issues, and balances the less critical but important. Strongly disagree Strongly agree  
  Thinks through the implications of decision and actions on staff, customers, and other stakeholders. Strongly disagree Strongly agree  
  Searches for the underlying, systemic causes driving a problem or issue. Strongly disagree Strongly agree  

Please add comments.

9. Strategic Agility

Sees ahead clearly; can anticipate future consequences and trends accurately; has broad knowledge and perspective; is future oriented; can articulately paint credible pictures and vision of possibilities and likelihoods; can create competitive and breakthrough strategies and plans. *

        1 2 3 4 5      
  Clearly communicates a strategy and direction for the department. Strongly disagree Strongly agree  
  Is able to think ahead to prepare for upcoming changes. Strongly disagree Strongly agree  
  Willing to change him/herself to meet new objectives. Strongly disagree Strongly agree  
  Looks beyond the immediate; sees the big picture and is future oriented. Strongly disagree Strongly agree  
  Has established plans and strategies to help us achieve company goals. Strongly disagree Strongly agree  
  Supports department and strategic goals, including changes and initiatives. Strongly disagree Strongly agree  
  Is open to new ideas. Strongly disagree Strongly agree  
  Adapts strategies, goals, and plans to changing conditions both within and outside the organization. Strongly disagree Strongly agree  
  Is networked with other professionals, peers or organizations. Strongly disagree Strongly agree  
  Promotes creativity, innovation and risk taking. Strongly disagree Strongly agree  

Please add comments.

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