Collaboration- 360 Degree Feedback Survey Sample #12

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

• Defines shared goals with the committee members.
• Creates a culture that fosters and values collaboration.
• Works to create innovative ideas from the collaboration with others.
• Allows various stakeholders to contribute their expertise to the solution of a problem.
• Respects other group/team members.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Continual Improvement

• Looks for ways to improve work processes and procedures.
• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
• Open to the suggestions from others.
• Looks for ways to expand current job responsibilities.
• Looks for ways to expand and learn new job skills.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Project Management

• Develops action items, workplans, timelines, and criteria for projects.
• Develops performance measures for various aspects of the project.
• Anticipates potential problems and institutes controls and contingency plans to address them.
• Responds quickly and appropriately to unforeseen problems.
• Maintains costs and expenses within budget limits.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Goals

• Achieves goals.
• Conducts timely follow-up; keeps others informed on a need to know basis.
• Sets high expectations and goals; encourages others to support the organization.
• Makes sure that team members have a clear idea of our group's goals.
• Goal Setting

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Clarity

• Seeks to reduce ambiguity in messaging and documents.
• Maintains clarity in goals and objectives.
• Clearly defines work objectives for employees.
• Communicates ideas and facts clearly and effectively in writing.
• Provides a clear vision for the future.

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.