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)
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


Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Fosters an environment that promotes active listening on the team.
  1. Works with other team members on the project.
  1. Demonstrates an understanding of other team member's viewpoints.
  1. Helps the team decide what long term goals need to be met.
  1. Makes decisions that positively impact team performance.
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. Meets with employees at the end of the job to debrief them.
  1. Uses disciplinary measures with the intent to guide and improve behavior, rather than to seek retribution.
  1. Maintains good working relationships with employees.
  1. Contributes to a productive work environment for the team.
  1. Resolves disputes in a way that quickly reaches mutual agreement.
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. Is creative and inspirational.
  1. Inspires creativity in their team.
  1. Adds value to the department/organization.
  1. Creates a lot of new ideas.
  1. Develops solutions to challenging problems.
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. Is concerned about adhering to the schedule.
  1. Persists with crucial assignments.
  1. Leverages teams and assigns specialized tasks to maximize productivity.
  1. Effectively uses subordinates to help get more work done by the department.
  1. Sets time limits on how much time is spent on particular tasks so that one task does not dominate the schedule.
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. Is trustworthy; is someone I can trust.
  1. Takes ownership, delivers on commitments
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Consistently keeps commitments.
  1. Takes care to maintain confidential information.
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. Reinforces the contacts with other organizations.
  1. Actively listens to understand different perspectives and identify common interests.
  1. Ensures all participants in the network are treated fairly and equitably.
  1. Seeks an understanding of diverse functions within the Company.
  1. Develops networks and builds alliances.
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. Is open and honest to avoid misunderstandings.
  1. Seeks to develop a shared understanding of the issues involved.
  1. Combines ideas and viewpoints of different team members.
  1. Removes misperceptions that may be contributing to the conflict.
  1. Explores the feasibility of alternative solutions to resolve conflicts.
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. Influences the attitudes and behaviors of subordinates to match the department's vision.
  1. Supports a strong employee culture to ensure alignment with the company's vision.
  1. Entrusts team members with executing the vision.
  1. Communicates the vision and strategy of [Company]
  1. Encourages employees to prioritize activities that contribute to the vision.
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. Seeks to reduce obstacles in communication that might arise from cultural differences.
  1. Actively listens to other employees' stories about their culture.
  1. May advocate for others with different cultural backgrounds.
  1. Supports and mentors others that may have different cultural backgrounds.
  1. Recognizes and values individual and cultural differences.
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.