Collaboration- 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Collaboration:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Is comfortable working with employees from different departments/divisions.
  1. Is a dependable partner in the group.
  1. Works with others to develop strategies to identify needs and priorities.
  1. Works to create innovative ideas from the collaboration with others.
  1. Builds consensus among team members.


Agree Unsure Disagree N/A
  1. Gets the job done.
  1. Motivates & supports others to gain skills
  1. Makes effective decisions, even when under pressure.
  1. Does whatever it takes (within reason) to get the job done.
  1. Displays high energy and enthusiasm on consistent basis.

Continual Improvement

Agree Unsure Disagree N/A
  1. Analyzes processes to determine areas for improvement.
  1. Open to the suggestions from others.
  1. Looks for ways to expand and learn new job skills.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.


Agree Unsure Disagree N/A
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Entrusts subordinates with important tasks.

Time Management

Agree Unsure Disagree N/A
  1. Leaves time in the schedule for unplanned contingencies.
  1. Does not procrastinate.
  1. Sets a good balance between work and family life.
  1. Prioritizes tasks to identify immediate and long-term objectives.
  1. Does not become flustered by deadlines and timelines.

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

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.