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
Displays a high degree of trust and credibility.
Encourages collaboration of fellow employees to achieve results.
Encourages working together to achieve shared goals.
Defines shared goals with the committee members.
Makes decisions with other members of the group.
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
Invoices clients on a timely basis.
Maintains an efficient schedule of activities.
Arrives to meetings on time.
Responds to requests for information in a timely manner.
Conducts appointments at scheduled start time.
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
Listens and responds to issues and problems
Shown significant improvement in job performance.
...Overall Performance
...Produce Quality
Works well in this position.
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
Willing to do whatever it takes-not afraid to have to put in extra effort.
Able to focus on a task even when working alone.
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
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
Actively and openly participates in group meetings.
Seeks and listens to other's contributions
Actively participates as a team member
Shares credit for accomplishments with team members
Creates a culture that fosters and values collaboration.
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.