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
Ensures all team members understand the goals.
Promotes a culture of collaboration, shared inspiration and creativity to tackle workplace problems.
Develops networks and builds alliances with employees throughout the company.
Facilitates resolving differences to strengthen team unity.
Encourages working together to achieve shared goals.
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
Starts the workday when scheduled.
Arrives to meetings on time.
Conducts appointments at scheduled start time.
Invoices clients on a timely basis.
Starts meetings on 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
Shown significant improvement in job performance.
Works effectively in the department.
Works well in this position.
Able to organize work.
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.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Takes immediate action toward goals.
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.
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
Shows respect for other team members.
Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
Creates opportunities to learn with other team members
Finds opportunities to recognize and reward team members.
Helps the team to bounce back from obstacles.
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.