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)

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.


What does Collaboration mean?
It means that ...
  • You encourage collaboration with other departments.
  • You work to create innovative ideas from the collaboration with others.
  • You are comfortable working with employees from different departments/divisions.
  • You readily share information with other group members.
  • You encourage working together to achieve shared goals.

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


What does Accountability mean?
It means that ...
  • You define roles, rights, and responsibilities of the team.
  • You take ownership of mistakes and learn from them.
  • You develop goals and establishes objective measures of success.
  • You act like an owner when they make decisions.
  • You create a consistent process for prioritizing work.

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 are able to express yourself clearly.
  • You help employees to resolve conflicts, communicate clearly, and work together to solve problems.

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 are pro-active in dealing with clients and addressing your needs.
  • You obtain feedback to ensure client needs are being met.
  • You look for opportunities that have a positive impact on Clients.
  • You ensure client commitments and requirements are met or exceeded
  • You satisfy client needs.

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


What does Entrepreneurship mean?
It means that ...
  • You devote a certain amount of time and effort to developing new business opportunities.
  • You encourage dynamic growth opportunities.
  • You find unique ways to go around barriers to success.
  • You are excellent at managing relationships with stakeholders.
  • You encourage risk taking for developing potential business opportunities.

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

Areas for Development

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