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. Defines shared goals with the committee members.
  1. Creates an environment that encourages information sharing.
  1. Builds consensus among team members.
  1. Works with others to develop strategies to identify needs and priorities.
  1. Creates a culture that fosters and values collaboration.
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. Understands the dynamics of our industry.
  1. Understands our competitors and their strengths and weaknesses.
  1. Understands and applies business and financial principles.
  1. Understands cash flow procedures and statements.
  1. Understands consumer behaviors and how they may change in the future.
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. Allows employees to fully participate in employee training and professional development.
  1. Seeks opportunities for professional development.
  1. Keep themselves up-to-date of technical/professional issues
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. Is ready to offer help
  1. Makes you feel enthusiastic about your work
  1. Delegate tasks effectively
  1. Sets an example for others to follow
  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. Ensures employees know what they need to complete during the shift.
  1. Uses disciplinary measures with the intent to guide and improve behavior, rather than to seek retribution.
  1. Is sought after for advice in a variety of situations.
  1. Delegates effectively.
  1. Communicates effectively to avoid issues, conflicts and errors on the job.
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. Creates a lot of new ideas.
  1. Is creative.
  1. Develops solutions to challenging problems.
  1. Adds value to the department/organization.
  1. Is creative and inspirational.
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. Plans who, when, and what work needs to get done.
  1. Regularly reviews project performance and goals.
  1. Coordinates timelines, events and tasks with various sub-groups within the project.
  1. Accurately determines the number of engineers required for the project.
  1. Able to adjust project schedule as needed to accommodate unforeseen issues.
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. Motivated to exceed performance goals.
  1. Completes work to a high technical standard
  1. Strives to exceed standards of performance.
  1. Completes work to given time frame and to budget
  1. Accepts setbacks and challenges as improvement opportunities
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.