Collaboration- 360 Degree Feedback Survey Sample #10

360 Feedback Survey

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.

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

• Defines shared goals with the committee members.
• Encourages collaboration with other departments.
• Works to create innovative ideas from the collaboration with others.
• Makes decisions with other members of the group.
• 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?

Feedback

• Accepts the views of others.
• Open to the suggestions of others.
• Actively seeks feedback from others.
• Looks to others for input.
• Shares past experiences with others as learning opportunities.

If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Delegation

• Allows subordinates to use their own methods and procedures.
• Entrusts subordinates with important tasks.
• Allows employees to decide how they wish to complete the tasks.
• Defines goals and objectives for subordinates.
• Tells subordinates what to do, not how to do it.

If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Time Management

• Focuses time on the tasks that yield the highest value.
• Makes the most of limited time available.
• Effectively delegates tasks to maximize the use of time.
• Completes tasks ahead of schedule.
• Encourages colleagues to spend more time on work related activities.

If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Recognition

• Reinforces and rewards employees for accomplishing necessary goals.
• Is sincerely interested in the suggestions of co-workers
• Recognizes team members who offer a significant contribution to a project.
• Recognizes individuals for a specific outstanding achievement.
• Recognizes the abilities and skills of self and others

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].

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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