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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

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. Expresses appreciation for the work of other team members.
  1. Encourages teamwork and collaboration.
  1. Listens to other team members without interrupting them.
  1. Coaches team members
  1. Works cooperatively with others to solve problems.
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. Welcomes the responsibility for meeting the broad range of needs of stakeholders and clients.
  1. Takes responsibility for the team's actions and results.
  1. Honors the commitments and promises made to customers/clients.
  1. Consults with the supervisor before engaging in new procedures that have some risk.
  1. Regularly completes tasks on time.
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. Stays up-to-date on emerging technologies.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Takes initiative for own learning and development.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
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. Allows employees to fully participate in employee training and professional development.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Encourages employees to take courses relevant to their job.
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Seeks opportunities for continuous learning.
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. Sets appropriate goals for employees.
  1. Stays focused even when under pressure and stress.
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Excellent at managing time.
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. Able to express own goals and needs.
  1. Persuades others to consider alternative points of view.
  1. Communicates effectively with others.
  1. Seeks to obtain consensus or compromise.
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. Strong organizational skills to keep the workspace and department in order
  1. Accurately implements contract provisions.
  1. Has strong technical/computer skills.
  1. Completes reports on-time.
  1. Implements and uses performance measures.
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. Understands the root causes of problems.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Solves problems using logic and insight.
  1. Implements effective solutions to critical problems.
  1. Makes judgments based upon relevant information.
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. Flexible in adjusting priorities to meet the demands of changing situations.
  1. Completes urgent tasks first.
  1. Creates measures of performance to track progress.
  1. Highly motivated to complete tasks despite obstacles that may arise.
  1. Makes changes to the plans if it will result in increased output.
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.