Collaboration- 360 Degree Feedback Survey Sample #11

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Collaboration

What does Collaboration mean?
It means that ...

• I cultivate a collaborative culture that drives innovation, productivity, and employee satisfaction.
• You build consensus among partners.
• I am committed to fostering a collaborative work environment in the department.
• I am tactful, compassionate and sensitive to the needs of others.
• I address interpersonal issues with a collaborative mindset.

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 ...

• I document performance goals through an individual development plan.
• I exhibit a sense of ownership of the process.
• I recognize when a mistake is made and work to correct the issue.
• I willingly accept the consequences for my actions.
• I require employees to submit monthly reports of the work they performed.

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 attentive to emotional cues and interprets others' feelings correctly.
• You are able to express yourself clearly.
• You are able to control your own emotions.
• You are able to manage your own emotions.
• You are able to understand others' points of view.

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 ...

• I build long term relationships with clients.
• You are above average in addressing the needs of the clients.
• You use feedback from the client to help improve the client's experience.
• You ensure client commitments and requirements are met or exceeded
• You obtain feedback to ensure client needs are being met.

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 balance risks and rewards when making decisions.
• You devote a certain amount of time and effort to developing new business opportunities.
• You take the initiative to complete tasks.
• You can work effectively in an environment of uncertainty.
• You encourage risk taking for developing potential business opportunities.

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.