Collaboration- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Collaboration:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Collaboration, Business Acumen, Professional Development, Management, Supervisory Skills, Creativity, Project Management, Achievement
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Collaboration

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Gives consideration to the innovative ideas presented by others.
  1. Ensures all team members understand the goals.
  1. Encourages teammates to settle their differences and work together.
  1. Shares knowledge, ideas and resources to achieve quicker success.
  1. 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?

Business Acumen

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Gathers important information from customers to make sure our products are relevant and useful.
  1. Understands cash flow procedures and statements.
  1. Has an understanding of various asset classes and how to interpret balance sheets.
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Creates strategic plans that conform with regulations and industry guidelines.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

Professional Development

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Contributing fully to the extent of their skills
  1. Keep themselves up-to-date of technical/professional issues
  1. Seeks opportunities for professional development.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?

Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Makes you feel enthusiastic about your work
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company
  1. Delegate tasks effectively
  1. Takes responsibility for things that go wrong
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?

Supervisory Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Maintains a calm demeanor when addressing stressful issues in the workplace.
  1. Maintains an even temper in stressful situations.
  1. Always remains calm and professional even in stressful situations.
  1. Understands the importance of good performance management.
  1. Identifies and maximizes opportunities for continuing education for employees.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?

Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Conceives, implements and evaluates ideas.
  1. Is creative and inspirational.
  1. Develops solutions to challenging problems.
  1. Is creative.
  1. Inspires creativity in their team.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?

Project Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Conducts a risk assessment for each phase of the project.
  1. Outlines key project dates and milestones.
  1. Communicates the results of the project, at the conclusion, to all stakeholders.
  1. Engages stakeholders and team members in open discussions.
  1. Develops action items, workplans, timelines, and criteria for projects.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Makes use of talents of others to help achieve a high level of performance.
  1. Inspires others to work with a sense of urgency.
  1. Takes calculated risks to achieve difficult goals.
  1. Is results oriented.
  1. Establishes stretch goals to advance skills and output.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.