Collaboration- 360 Degree Feedback Survey Sample #2





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

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 and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Collaboration, Partnering/Networking, Communication Skills, Accountability, Decision Making, Goals, Planning, Cultural Awareness, Performance
Sample Result Document:
Sample Results
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.

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


Collaboration

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willing to work with others to solve problems.
  1. Shares skills and time to help the team thrive.
  1. Encourages working together to achieve shared goals.
  1. Engages with team members to build a collaborative work environment.
  1. Identifies and organizes partnerships and alliances.
What are your suggestions for how [Participant Name] can make improvements
in Collaboration?

Partnering/Networking

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Reinforces the contacts with other organizations.
  1. Balances the strategic interests of those involved to maintain alliances.
  1. Networks with others in the company to better understand the workflows and operational requirements.
  1. Forms strong relationships with customers.
  1. Effectively develops networks with colleagues that have shared interests.
What are your suggestions for how [Participant Name] can make improvements
in Partnering/Networking?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Effectively engages with everyone from the CEO to external partners.
  1. Communicates Corporate initiatives in a relevant and actionable manner to employees within his/her organization.
  1. Conducts impactful training sessions.
  1. Delivers information in a clear, concise, and logical manner.
  1. Articulates ideas and emotions clearly to others.
What are your suggestions for how [Participant Name] can make improvements
in Communication Skills?

Accountability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Informs the supervisor if progress on the task has been delayed.
  1. Takes responsibility for the team's actions and results.
  1. Makes sure the supervisor is always informed of any important events.
  1. Takes full responsibility for results.
  1. Takes full responsibility for project outcomes.
What are your suggestions for how [Participant Name] can make improvements
in Accountability?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Open to the suggestions from subordinates.
  1. Decides which long-term goals should be met.
  1. Makes decisions independently (without having to be told what or how).
  1. Makes decisions that support the department's goals and objectives.
  1. Does not lose sight of the big picture when making decisions
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Goals

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Achieves established goals.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Establishes and documents goals and objectives.
  1. Makes sure that team members have a clear idea of our group's goals.
What are your suggestions for how [Participant Name] can make improvements
in Goals?

Planning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Assesses the potential impact of changes to the strategic plan.
  1. Reduces uncertainty in the department through clear planning and schedules.
  1. Able to identify the needs of the department before a major change.
  1. Purchases equipment and software that will be needed in the future.
  1. Effectively uses logistics planning to reduce supply delays.
What are your suggestions for how [Participant Name] can make improvements
in Planning?

Cultural Awareness

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Seeks opportunities to learn about the other cultural backgrounds of colleagues.
  1. Understands how their own cultural background can impact the way they communicate and interact with others.
  1. Is curious and willing to ask questions about the cultural differences in the workplace.
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Shows respect in daily interactions
What are your suggestions for how [Participant Name] can make improvements
in Cultural Awareness?

Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works effectively in the department.
  1. Sets a high standard for job performance.
  1. Works well in this position.
  1. Effective in performing his/her job.
  1. Able to organize work.
What are your suggestions for how [Participant Name] can make improvements
in Performance?


  1. Strengths


  2. Areas for Development


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