Teamwork- 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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







Teamwork

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Facilitates team discussions and problem-solving
  1. Helps the team decide what long term goals need to be met.
  1. Facilitates effective decision-making practices to further develop the team.
  1. Actively participates in the work of teams; seeks and listens to others' contributions
  1. Considers the impact and implications of decisions on the team.
Please feel free to provide any comments to help explain your answers?

Self Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Steps away from a situation to process appropriate response.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Values the diverse perspectives from others.
  1. Acknowledges their own biases in cultural interactions.
  1. Hires individuals with different cultural backgrounds for the department.
  1. Understands how their own cultural background can impact the way they communicate and interact with others.
  1. Is open and honest in communications with individuals from other cultures.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
  1. Is ready to offer help
  1. Takes responsibility for things that go wrong
Please feel free to provide any comments to help explain your answers?

Analytical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Analyzes data and information from several sources and arrives at logical conclusions.
  1. Implements data validation techniques and methods.
  1. Uses appropriate techniques to solve problems.
  1. Asks the "right" questions to size up or evaluate situations.
  1. Identifies the root cause of a problem.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Delegates tasks to those with free time to do them.
  1. Is always on time for meetings.
  1. Delegates tasks to free up time to focus on more important issues.
  1. Effectively uses subordinates to help get more work done by the department.
  1. Focuses time on the tasks that yield the highest value.
Please feel free to provide any comments to help explain your answers?

Achievement

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Sets challenging goals.
  1. Rapidly completes tasks and assignments.
  1. Systematically works to improve the organization
  1. Driven to complete goals despite obstacles that may arise.
  1. Takes calculated risks to achieve difficult goals.
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Has excellent communication with clients.
  1. Understands the needs of the client.
  1. Actively listens to concerns from clients.
  1. Builds products that meet the unique needs of each client.
  1. Ensures commitments made to clients are completed to the client's satisfaction.
Please feel free to provide any comments to help explain your answers?

Business Acumen

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops business plans that are forward looking.
  1. Is up-to-date with regulatory guidelines and policies.
  1. Can effectively interpret and analyze market data.
  1. Involves key stakeholders (employees, customers, investors, partners) in the planning process to gain diverse perspectives and buy-in.
  1. Has an understanding of various asset classes and how to interpret balance sheets.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Shapes the department's vision into actionable goals.
  1. Establishes an inspiring and strategic vision for the department.
  1. Charts a bold course for the department's evolution.
  1. Transforms the department's vision into a clearly defined, actionable set of goals and a comprehensive strategic plan.
  1. Identifies problems and crafts solutions.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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