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)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Collaboration

  • Integrates digital tools to streamline the collaborative processes of Research and Development.
  • Engages with team members to build a collaborative work environment.
  • Respectful of others in group discussions.
  • Makes decisions with other members of the group.
  • Engages in consensus-building activities.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Continual Improvement

  • Looks for ways to expand current job responsibilities.
  • Looks for ways to improve work processes and procedures.
  • Looks for ways to expand and learn new job skills.
  • Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  • Analyzes processes to determine areas for improvement.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Project Management

  • Ensures the project is executed on time and on budget.
  • Determines the project strategy for implementation.
  • Investigates potential risks of different courses of action.
  • Manages various facets of the project to keep it on track with the delivery date.
  • Establishes the scope for the project.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Goals

  • Goal Setting
  • Achieves established goals.
  • Makes sure that team members have a clear idea of our group's goals.
  • Makes sure that I have a clear idea of our group's goals.
  • Understands & contributes to development of strategic goals.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Clarity

  • Avoids stating unclear or conflicting goals.
  • Communicates with clarity and efficiency.
  • Makes sure employees understand why they were given certain assignments.
  • Attends to the important details of a job or task.
  • Clearly defines work objectives for employees.
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.