Collaboration- 360 Degree Feedback Survey Sample #10





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)
Instructions

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.


Collaboration

  • Engages in teamwork to handle disputes positively.
  • Contributes resources and knowledge to help the team achieve its goals.
  • Facilitates resolving differences to strengthen team unity.
  • Effectively uses digital tools do you use to improve collaboration in the department.
  • Has the confidence and trust of other partners.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?

Feedback

  • Asks others for their ideas and opinions.
  • Open to the suggestions of others.
  • Is visible and approachable.
  • Looks to others for input.
  • Accepts the views of others.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Delegation

  • Allows employees to decide how they wish to complete the tasks.
  • Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  • Defines the roles, responsibilities, required actions, and deadlines for team members.
  • Sets clear and reasonable expectations for others and follows through on their progress.
  • Assigns tasks to create learning opportunities for the employees.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Time Management

  • Sets goals to complete specific parts of the project by certain times to keep on schedule.
  • Allocates full attention to completing critical tasks.
  • Diligently records billable hours.
  • Usually works with a sense of urgency.
  • Achieves high output to meet deadlines.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Recognition

  • Recognizes individuals for a specific outstanding achievement.
  • Offers recognition in a timely manner.
  • Recognizes team members who offer a significant contribution to a project.
  • Lets employees know when they have done well
  • Is sincerely interested in the suggestions of co-workers
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].






Strengths


Areas for Development


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