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Collaboration- 360 Degree Feedback Survey Sample #3





Competencies Included:
Collaboration, Integrity, Persuasion and Influence, Delegation, Time Management, Action
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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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



Edit this Survey
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Collaboration

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops networks and builds alliances across departments.
  1. Has the confidence and trust of other partners.
  1. Builds consensus among team members.
  1. Is a dependable partner in the group.
  1. Clearly articulates the importance of collaboration in the department's values and vision.
Please feel free to provide any comments to help explain your answers?

Integrity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Consistently delivers on promises reinforcing a pattern of trustworthy behavior.
  1. Maintains composure and does not react rudely when confronted with rude behavior to show self-control, emotional maturity, and integrity.
  1. Exhibits kindness and respect towards others without seeking personal gain.
  1. Demonstrates unwavering honesty and transparency, serving as a role model for their team.
  1. Earns the trust of employees, clients, and stakeholders by consistently demonstrating a high degree of integrity.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Anticipates future trends and communicates their implications in a way that energizes and prepares the team.
  1. Gets employees to change the way they process inputs.
  1. Creates a compelling message that is persuasive.
  1. Confronts individuals with information about their beliefs and values.
  1. Forges a consensus among individuals who have a diversity of opinions and interests.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Demonstrates confidence in employees' capabilities by granting appropriate decision-making authority.
  1. Recognizes employees' strengths and aligns tasks with their enthusiasm.
  1. Explains the purpose, expectations, and desired outcomes of the task.
  1. Engages the employee in discussion to ensure alignment on the delegated responsibility.
  1. Effectively balances delegation and supervision of employees.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Processes items in the inbox instead of letting them accumulate.
  1. Addresses the most pressing needs at the beginning of the shift.
  1. Stays undistracted by personal devices while on the clock.
  1. Maintains precise time logs for billing.
  1. Builds capability by delegating stretch tasks that promote growth and development in others.
Please feel free to provide any comments to help explain your answers?

Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Successfully identifies the right person for a job when distributing tasks.
  1. Takes action in critical situations.
  1. Converts plans into actions.
  1. Is decisive when making decisions.
  1. Stays committed to goals even when progress is slow.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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