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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. Expresses appreciation for the work of other team members.
  1. Committed to the successful completion of team goals.
  1. Facilitates effective decision-making practices to further develop the team.
  1. Effective team player
  1. Gives constructive advice to 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. Sets a good example for others to follow.
  1. Uses persuasion rather than threats of disciplinary action.
  1. Addresses performance issues with a developmental mindset, emphasizing improvement over retribution.
  1. Is diligent about completing performance assessments on time.
  1. Provides guidance and support to help employees achieve their goals.
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. Transforms learning into creative insight, showing how development leads to invention.
  1. Works across departments to stimulate creative ideas.
  1. Creates a lot of new ideas.
  1. Discovers new ways of doing things through careful observation and analysis.
  1. Reflects on new learning to inspire imaginative thinking.
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. Remains dedicated to completing high priority work.
  1. Ensures timely completion of critical assignments.
  1. Avoids spending time on non-work related activities.
  1. Often arrives at work early to get the day started.
  1. Maximizes time management by multitasking.
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. Builds and maintains the trust of others.
  1. Demonstrates congruence between statements and actions.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Consistently keeps commitments.
  1. Delivers on promises made.
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. Identifies the right alliance partners with complementary and compatible services and resources.
  1. Uses new techniques and procedures learned through established networks of professionals.
  1. Forms strong relationships with customers.
  1. Is comfortable working in partnership with colleagues from other departments.
  1. Collaborates with other companies to inject capital in exchange for equity, fostering growth and expansion for the partner organization.
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. Facilitates dialog between team members.
  1. Uses logic and reasoning to determine the best course of action for resolving the conflict.
  1. Breaks down conflict into component parts (e.g., interests, emotions, miscommunications) to isolate key drivers.
  1. Ensures that each party feels heard and understood, while reducing assumptions and misinterpretations.
  1. Equips the team with tools to self-manage conflict and engage in productive dialogue.
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. Creates a vision that adds value to the organization.
  1. Develops an inspiring and ambitious vision of growth for the organization's future.
  1. Envisions and articulates a clear path for the department's accelerated growth over the next year.
  1. Tasks employees with realizing the vision.
  1. Provides a detailed schedule that specifies key milestones and deadlines, guiding the organization step-by-step towards achieving its long-term goals and overall 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. Is sensitive to the similarities and differences that exist between cultures.
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Willing to work with employees who have different cultural backgrounds.
  1. Seeks clarification to avoid misunderstandings.
  1. Consistently acknowledges and validates the contributions of team members from all 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.