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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

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. Has the confidence and trust of other team members.
  1. Values others in decision making.
  1. Involves others in reaching a consensus during group activities.
  1. Effectively uses technology to facilitate collaborative efforts in building process and policy documents.
  1. Builds a culture of trust and mutual respect where team members are encouraged to value each other's contributions.
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. Assists others in better understanding the company's operations, goals, and strategic challenges.
  1. Can effectively interpret and analyze data.
  1. Keeps informed of current income and expenses.
  1. Conducts thorough market research to understand industry trends, customer needs, and competitive landscapes.
  1. Has a good understanding of business operations to more effectively align company services to meet the needs of its customers.
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. Seeks opportunities for continuous learning.
  1. Contributing fully to the extent of their skills
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Allows employees to fully participate in employee training and professional development.
  1. Seeks opportunities for professional development.
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. Delegate tasks effectively
  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. Is ready to offer help
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. Is clear when assigning tasks to be completed.
  1. Empowers employees to make their own decisions in the field.
  1. Has a high degree of multi-cultural competence to supervise individuals of various cultural backgrounds.
  1. Provides feedback referencing specific instances or examples of behaviors.
  1. Is able to manage emotions during difficult times.
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. Creates a lot of new ideas.
  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. Locates the equipment and supplies needed for the project.
  1. Understands the financial, strategic, resources, staffing, timeline and market risks that may impact the project.
  1. Organizes work and sets priorities as needed.
  1. Identifies potential risks to completing the project on time.
  1. Determines the project scope.
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. Demonstrates improvement in performance.
  1. Makes use of talents of others to help achieve a high level of performance.
  1. Sets ambitious standards of performance.
  1. Successfully completed the orientation training program.
  1. Strives to meet goals and objectives.
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.