Collaboration- 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Assessments 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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.


Definite Strength Meets Standards Needs Development N/A
  1. Is a dependable partner in the group.
  1. Identifies and organizes partnerships and alliances.
  1. Works with others to resolve issues facing the company.
  1. Encourages collaboration with other departments.
  1. Displays a high degree of trust and credibility.


Definite Strength Meets Standards Needs Development N/A
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Helps employees to maintain high personal standards.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Conducts regular performance appraisals and feedback.
  1. Develops the skills and capabilities of others.


Definite Strength Meets Standards Needs Development N/A
  1. Handles changes easily.
  1. Responds quickly to new information.
  1. Recognizes and implements changes to enhance efficiency and effectiveness.
  1. Works effectively in dynamic and changing work environments.
  1. Adapts to new environments.

Passion To Learn

Definite Strength Meets Standards Needs Development N/A
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Enjoys learning new skills and techniques.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Is open to feedback from others.

Supervisory Skills

Definite Strength Meets Standards Needs Development N/A
  1. Appropriately recognizes and rewards employees.
  1. Determines the training and development needs of employees and staff.
  1. Asks employees for their ideas and opinions.
  1. Provides detailed feedback to employees.
  1. Motivates and inspires high performance by team members.

Fiscal Management

Definite Strength Meets Standards Needs Development N/A
  1. Develops budgets and plans for various programs and initiatives.
  1. Develops of the department's annual budget.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Provides budgeting and accounting support to the Company.
  1. Monitors expenses and verifies the need for items purchased.

  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.