hr-survey.com

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)
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.




Collaboration

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Creates a culture that fosters and values collaboration.
  1. Displays a high degree of trust and credibility.
  1. Makes decisions with other members of the group.
  1. Works with others to develop strategies to identify needs and priorities.
  1. Readily shares information with other group members.
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. Fosters a high standard of ethics and integrity.
  1. Develops trust and confidence from others.
  1. Follows tasks to completion.
  1. Fosters an environment built upon trust.
  1. Accepts responsibility for mistakes.
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. Seeks to obtain consensus or compromise.
  1. Able to express own goals and needs.
  1. Communicates effectively with others.
  1. Attempts to persuade others rather than simply control them.
  1. Has excellent influencing/negotiating skills.
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. Allows employees to decide how they wish to complete the tasks.
  1. Tells subordinates what to do, not how to do it.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Allows subordinates to use their own methods and procedures.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
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. Keeps and maintains a To-Do list.
  1. Avoids distractions in the workplace.
  1. Sets clearly defined goals.
  1. Leaves time in the schedule for unplanned contingencies.
  1. Completes tasks ahead of schedule.
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. Effectively makes decisions
  1. Displays high energy and enthusiasm on consistent basis.
  1. Makes effective decisions, even when under pressure.
  1. Drives and mobilizes others progress toward goals.
  1. Motivates & supports others to gain skills
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.