Collaboration- 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Collaboration	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates a culture that fosters and values collaboration.
Creates an environment to support free exchange of information.
Respects other group/team members.
Builds consensus among partners.
Works cooperatively with others to solve problems.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Punctuality	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Arrives to meetings on time.
Avoids making personal phone calls during working hours.
Invoices clients on a timely basis.
Maintains an efficient schedule of activities.
Responds to requests for information in a timely manner.
If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Effectively organizes resources and plans
Has great overall performance
Works effectively in the department.
Sets a high standard for job performance.
Effective in performing his/her job.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Commitment To Result	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Committed to the team.
Coordinates all department activities into a cohesive team effort.
Takes immediate action toward goals.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Willing to do whatever it takes-not afraid to have to put in extra effort.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Contributes to and supports team decision-making process
Creates a climate that encourages team participation.
Seeks and listens to other's contributions
Fosters teamwork rather than individual competition
Effective team player
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?

26. Strengths
    
    
    
27. Areas for Development
    
    
    
28. Please give any final comments or suggestions for [Participant Name Here]'s assessment.