Collaboration- 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

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.

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.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

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 Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Engages with team members to build a collaborative work environment.
Is a trustworthy and credible partner.
Strengthens relationships with suppliers to improve contract and price negotiation terms.
Builds relationships with suppliers to improve communications and reduce misunderstandings and delays.
Collaborates with team members to achieve common goals.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Analyzes interpersonal problems instead of reacting to them.
Steps away from a situation to process appropriate response.
Does not allow own emotions to interfere with the performance of others.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes various actions to be taken when solving a problem.
Asks the "right" questions to size up or evaluate situations.
Analyzes issues and reduces them to their component parts.
Analyzes data and information from several sources and arrives at logical conclusions.
Selects the appropriate techniques for analysis.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Writes clear job descriptions for positions in the organization.
Communicates with clarity and efficiency.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Provides a clear vision for the future.
Checks details thoroughly.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates an environment where team members work collaboratively rather than compete with one another.
Combines different ideas and viewpoints.
Ensures that all team members feel respected and heard.
Combines ideas and viewpoints of different team members.
Encourages team members to express their ideas and concerns openly.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
27. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
28. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
29. Additional comments, if any for [Participant Name Here]'s assessment.