Collaboration- 360 Degree Feedback Survey Sample #11





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.

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 are comfortable working with employees from different departments/divisions.
  • You promote open participation and communication within department and throughout the organization.
  • You make decisions with other members of the group.
  • You display a high degree of trust and credibility.
  • You consult with other partners on issues.

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

Accountability

What does Accountability mean?
It means that ...
  • I hold employees accountable for completing the project successfully.
  • You hold employees accountable for their participation in solving department problems and issues.
  • You continue to work diligently on a problem despite setbacks.
  • I document performance goals through an individual development plan.
  • I recognize when a mistake is made and work to correct the issue.

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

Emotional Intelligence

What does Emotional Intelligence mean?
It means that ...
  • You help to make decisions and solve problems using knowledge about how others will react in certain situations.
  • You are attentive to emotional cues and interprets others' feelings correctly.
  • You are able to understand others' points of view.
  • You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
  • You accurately perceive the emotional reactions of others.

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

Client Focus

What does Client Focus mean?
It means that ...
  • You prioritize the needs and preferences of the client.
  • You help others in responding to client needs.
  • I identify the core needs of the client.
  • I ensure that commitments made to clients are completed to the client's satisfaction.
  • I am consistent in services provided to clients.

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

Entrepreneurship

What does Entrepreneurship mean?
It means that ...
  • You encourage dynamic growth opportunities.
  • You seek and utilize mentors to help guide your professional development.
  • You maintain a high level of energy to respond to demands of the job.
  • You balance risks and rewards when making decisions.
  • You can work effectively in an environment of uncertainty.

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


Areas for Development


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