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)
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


Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Coaches team members
  1. Shares credit for accomplishments with team members
  1. Asks other team members to share their opinions.
  1. Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
  1. Able to work closely other team members who are considered to be difficult to work with.
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. Decides what supplies need to be purchased.
  1. Provides feedback referencing specific instances or examples of behaviors.
  1. Is sought after for advice in a variety of situations.
  1. Informs employees of what tasks need to be completed on each shift.
  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. Develops solutions to challenging problems.
  1. Conceives, implements and evaluates ideas.
  1. Is creative and inspirational.
  1. Inspires creativity in their team.
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. Delegates routine tasks to team members, allowing the manager to concentrate on more strategic or complex responsibilities.
  1. Avoids distractions in the workplace.
  1. Prioritizes tasks to identify immediate and long-term objectives.
  1. Effectively uses subordinates to help get more work done by the department.
  1. Keeps accurate records of time spent on projects for proper billing.
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. Delivers on promises made.
  1. Takes care to maintain confidential information.
  1. Builds and maintains the trust of others.
  1. Takes ownership, delivers on commitments
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. Maintains a strong track record of networking and partnering.
  1. Willingly participates on committees and project teams.
  1. Forms strategic partnerships and business alliances to expand opportunities.
  1. Engages in collaborative problem-solving to address shared challenges.
  1. Creates an environment that supports information exchange.
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. Does not let minor issues escalate into major problems.
  1. Deals effectively with employee grievances.
  1. Combines ideas and viewpoints of different team members.
  1. Persuades others to accept personal transformation.
  1. Identifies areas of agreement and common ground to form basis of resolution.
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. Focuses subordinates' work on critical aspects of the vision.
  1. Creates strategic initiatives that support the organization's common vision.
  1. Works to support the strategy of [Company]
  1. Envisions and articulates a clear path for the department's growth over the next year.
  1. Inspires and motivates employees through an influential 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. Understands how their own cultural background can impact the way they communicate and interact with others.
  1. Values the opinions of diverse groups and individual.
  1. Views diversity as a strength, not as an issue.
  1. Is sensitive to the similarities and differences that exist between cultures.
  1. Respects the views offered by individuals with different cultural backgrounds.
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.