Collaboration- 360 Degree Feedback Survey Sample #12





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.

Sample Result Document:
Sample Results
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

  • Respectful of others in group discussions.
  • Creates an environment to support free exchange of information.
  • Maintains strong relationships with suppliers to ensure quality standards are met.
  • Collaborates in time, effort, and expertise to help achieve success.
  • Contributes resources and knowledge to support others' success.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Continual Improvement

  • Analyzes processes to determine areas for improvement.
  • Promotes training and development opportunities to enhance job performance.
  • Open to the suggestions from others.
  • Looks for ways to expand current job responsibilities.
  • Looks for ways to improve work processes and procedures.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Project Management

  • Correctly estimates the cost of supplies for the project.
  • Documents the risk assessments for different parts of the project.
  • Identifies the project time and budget constraints.
  • Successfully negotiated contracts with suppliers.
  • Hold team members accountable for completing specific tasks on the project.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Goals

  • Sets high expectations and goals; encourages others to support the organization.
  • Goal Setting
  • Achieves goals.
  • Understands & contributes to development of strategic goals.
  • Establishes and documents goals and objectives.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Clarity

  • Communicates with clarity and efficiency.
  • Clarifies problems and their causes to help employees correct them.
  • Makes sure employees understand why they were given certain assignments.
  • Avoids stating unclear or conflicting goals.
  • Checks details thoroughly.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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