Teamwork- 360 Degree Feedback Survey Sample #2





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

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 and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Teamwork, Accountability, Passion To Learn, Professional Development, Establishing Focus/Direction, Persuasion and Influence, Administrative Skill, Problem Solving, Results Oriented
Sample Result Document:
Sample Results
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.

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


Teamwork

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Helps the team decide what long term goals need to be met.
  1. Considers the impact and implications of decisions on the team.
  1. Appreciates the input from other team members.
  1. Helps the team to bounce back from obstacles.
  1. Listens to the opinions of other team members.
What are your suggestions for how [Participant Name] can make improvements
in Teamwork?

Accountability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Does not make excuses for missed deadlines.
  1. Commits to leading the initiatives to solving critical issues.
  1. Expects employees to account for their actions and performance.
  1. Aware of the consequences for failure to complete the project.
  1. Exhibits a sense of ownership of outcomes and results.
What are your suggestions for how [Participant Name] can make improvements
in Accountability?

Passion To Learn

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Embraces new technology and procedures.
  1. Holds self and associates accountable for goal achievement.
  1. Takes advantage of training opportunities when they arise.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Demonstrates a willingness to participate in continuing education courses.
What are your suggestions for how [Participant Name] can make improvements
in Passion To Learn?

Professional Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Encourages employees to take courses relevant to their job.
  1. Seeks opportunities for professional development.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Keep themselves up-to-date of technical/professional issues
  1. Quickly acquire and apply new knowledge and skills when needed
What are your suggestions for how [Participant Name] can make improvements
in Professional Development?

Establishing Focus/Direction

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Excellent at managing time.
  1. Stays focused even when under pressure and stress.
  1. Helps guide employees with prioritizing tasks.
What are your suggestions for how [Participant Name] can make improvements
in Establishing Focus/Direction?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Has excellent influencing/negotiating skills.
  1. Understanding what others need.
  1. Seeks to obtain consensus or compromise.
  1. Ensures stakeholders are involved in the decision making process.
  1. Able to express own goals and needs.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Administrative Skill

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Has strong technical/computer skills.
  1. Able to develop, justify and present a budget.
  1. Enthusiastic about taking on challenging projects.
  1. Accurately implements contract provisions.
  1. Strong organizational skills to keep the workspace and department in order
What are your suggestions for how [Participant Name] can make improvements
in Administrative Skill?

Problem Solving

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Finds creative ways to get things done with limited resources.
  1. Works cooperatively with others to solve problems.
  1. Solves problems using logic and insight.
  1. Understands the root causes of problems.
  1. Identifies and assesses all potential responses to a problem.
What are your suggestions for how [Participant Name] can make improvements
in Problem Solving?

Results Oriented

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Strives to achieve high volume of output.
  1. Identifies the steps needed to accomplish the results.
  1. Completes all required coursework.
  1. Pursues performance benchmarks despite obstacles and setbacks.
  1. Flexible in adjusting priorities to meet the demands of changing situations.
What are your suggestions for how [Participant Name] can make improvements
in Results Oriented?


  1. Strengths


  2. Areas for Development


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