Collaboration- 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Collaboration

What does Collaboration mean?
It means that ...

• You work with others to resolve issues facing the company.
• You build consensus among partners.
• You work cooperatively with others to solve problems.
• You are comfortable working with employees from different departments/divisions.
• You identify and organize partnerships and alliances.

To what extent does this person exhibit Collaboration?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Accountability

What does Accountability mean?
It means that ...

• You accept accountability for your actions and results.
• You can be counted on to do what you say you are going to do.
• You tackle issues head on and finds solutions.
• You take ownership of mistakes and learn from them.
• You act like an owner when they make decisions.

To what extent does this person exhibit Accountability?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Emotional Intelligence

What does Emotional Intelligence mean?
It means that ...

• You are able to control your own emotions.
• You are able to understand others' points of view.
• You are able to manage your own emotions.
• You accurately perceive the emotional reactions of others.
• You help to make decisions and solve problems using knowledge about how others will react in certain situations.

To what extent does this person exhibit Emotional Intelligence?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Client Focus

What does Client Focus mean?
It means that ...

• You identify the most pressing needs of each client.
• I identify opportunities that enhance the client's experience.
• You view client satisfaction as an everyday priority.
• You adapt to changing client needs.
• I keep the client informed of all progress.

To what extent does this person exhibit Client Focus?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Entrepreneurship

What does Entrepreneurship mean?
It means that ...

• You exhibit determination and passion in completion of goals.
• You encourage risk taking for developing potential business opportunities.
• You are able to adapt the department to changing business demands and climate.
• You balance risks and rewards when making decisions.
• You find unique ways to go around barriers to success.

To what extent does this person exhibit Entrepreneurship?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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