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

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. Integrates technology to boost collaborative work on process and policy documentation.
  1. Builds strong interpersonal relationships for more effective collaboration.
  1. Considers the views of other colleagues and associates.
  1. Utilizes digital tools to enhance collaborative efforts in creating process and policy documents.
  1. Is tactful, compassionate and sensitive to the needs of others.
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. Hosts industry events or meetups to bring partners and networks together.
  1. Ensures that lessons learned from the partnership are disseminated and built upon.
  1. Partners with supply chain companies to enhance availability of resources and material.
  1. Supports and encourages relationships that are created by diverse team members.
  1. Understands the potential risks/rewards of the partnership.
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. Is professional at all times--never ridiculing, mocking or undermining peers or subordinates.
  1. Delivers clear and concise instructions.
  1. Responds in a timely manner, respecting deadlines and others' schedules.
  1. Responds to critical concerns of stakeholders.
  1. Can effectively deliver presentations.
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. Demonstrates a commitment to taking responsibility for actions.
  1. Aware of the consequences for failure to complete the project.
  1. Always starts work on time.
  1. Keeps supervisor informed of recent events.
  1. Consults with the supervisor before engaging in new procedures that have some risk.
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. Considers the ethical implications of decisions.
  1. Willing to consider information from other sources.
  1. Takes into account the impact decisions will have on others.
  1. Examines relevant factors needed to make a decision.
  1. Makes decisions based on novel interpretations of the facts.
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 goals.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Understands & contributes to development of strategic goals.
  1. Establishes and documents goals and objectives.
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. Reduces uncertainty in the department through clear planning and schedules.
  1. Sets up and monitors timeframes and plans
  1. Works in an organized manner
  1. Accurately estimates the duration of tasks.
  1. Determines what supplies/equipment will be needed for the project.
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. Understands how implicit biases can affect decisions, communication and productivity.
  1. Effective in working with individuals with a variety of cultural backgrounds.
  1. Values the opinions of diverse groups and individual.
  1. Avoids referring to stereotypes about others from different cultures.
  1. Communicates with others without the influence of racism.
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. Effective in performing his/her job.
  1. Listens and responds to issues and problems
  1. ...Produce Quality
  1. Works effectively in the department.
  1. Effectively organizes resources and plans
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.