Collaboration- 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

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Collaboration	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Builds consensus among partners.
Models collaborative behavior through leading by example.
Considers the views of other colleagues and associates.
Effectively works with others to create solutions to problems.
Encourages diversity of opinions and ideas.
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.
Arrives to meetings on time.
Avoids making personal phone calls during working hours.
Starts meetings on time.
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
...Overall Performance
Sets a high standard for job performance.
...Produce Quality
Has great overall performance
Listens and responds to issues and problems
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.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Coordinates all department activities into a cohesive team effort.
Able to focus on a task even when working alone.
Maintains persistence and dedication to achieving results.
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
Builds a strong rapport with team members.
Is open to new ideas that may change own goals for benefit of the team
Fosters teamwork rather than individual competition
Listens to other team members without interrupting them.
Listens to the opinions of other team members.
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.