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HR-Survey > 360-Degree Feedback > Competency Model > Teamwork Skills

Teamwork- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Teamwork:
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; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Teamwork, Supervisory Skills, Creativity, Time Management, Trustworthy, Partnering/Networking, Conflict Management, Vision, Cultural Awareness
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Committed to the successful completion of team goals.
  1. Treats other team members with respect.
  1. Appreciates the input from other team members.
  1. Helps the team make good decisions even under conditions of uncertainty.
  1. Creates opportunities to learn with other team members
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?

Supervisory Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Facilitates conversations where each person can be heard.
  1. Gives employees the ability to complete their tasks as they see fit.
  1. Maintains professional interactions with peers, customers, and employees.
  1. Is clear when assigning tasks to be completed.
  1. Provides direction and coaching to employees.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?

Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Creates a lot of new ideas.
  1. Inspires creativity in their team.
  1. Develops solutions to challenging problems.
  1. Conceives, implements and evaluates ideas.
  1. Adds value to the department/organization.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?

Time Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Stays undistracted by personal devices while on the clock.
  1. Efficiently uses time available.
  1. Is proactive in addressing important issues.
  1. Completes tasks ahead of schedule.
  1. Records time spent on work and non-work related items.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Demonstrates congruence between statements and actions.
  1. Works in a way that makes others want to work with her/him.
  1. Consistently keeps commitments.
  1. Is trustworthy; is someone I can trust.
  1. Communicates an understanding of the other person's interests, needs and concerns.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Partnering/Networking

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Participates in conflict resolution to find mutually beneficial solutions.
  1. Forms strong relationships with customers.
  1. Builds trust with colleagues and coworkers.
  1. Creates an environment that supports information exchange.
  1. Promotes the understanding of how the department affects the organization overall.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?

Conflict Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Reframes conflicts as opportunities to innovate and create new solutions to problems.
  1. Persuades individuals to alter their underlying work behaviors which may have led to the conflict.
  1. Identifies areas of agreement and common ground to form basis of resolution.
  1. Facilitates both parties in collaboratively seeking a compromise.
  1. Settles disputes resulting in a win-win for both parties.
If [Participant Name] were to make improvements in Conflict Management, what are your suggestions for how he/she can improve this?

Vision

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops a vision to empower employees to make more effective decisions.
  1. Is aware of their own actions and how that impacts the department.
  1. Promotes a vision that inspires individuals to take risks to achieve greater rewards.
  1. Encourages employees to prioritize activities that contribute to the vision.
  1. Creates a clear and inspiring vision statement that outlines the desired future for the company.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

Cultural Awareness

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Aware of their own cultural views.
  1. Is curious and willing to ask questions about the cultural differences in the workplace.
  1. Respects the views offered by individuals with different cultural backgrounds.
  1. Recognizes individual and cultural differences.
  1. Avoids referring to stereotypes about others from different cultures.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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