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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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. Asks other team members to share their opinions.
  1. Supports open communication between team members.
  1. Helps the team to bounce back from obstacles.
  1. Encourages other team members to adopt new procedures.
  1. Actively and openly participates in team meetings.
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. Consciously controls own negative emotions in order to keep team morale up.
  1. Steps away from a situation to process appropriate response.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Uses patience and self-control in working with customers and associates.
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. Is aware of cultural differences in business etiquette.
  1. Avoids referring to stereotypes about others from different cultures.
  1. Acknowledges their own biases in cultural interactions.
  1. Understands how implicit biases can affect decisions, communication and productivity.
  1. Willing to work with employees who have different cultural backgrounds.
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. Takes responsibility for things that go wrong
  1. Keep staff informed about what is happening in the company
  1. Is ready to offer help
  1. Sets an example for others to follow
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. Balances risks and costs with the rewards and probabilities of success when decisions.
  1. Implements data validation techniques and methods.
  1. Analyzes issues and reduces them to their component parts.
  1. Prioritizes various actions to be taken when solving 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. Achieves more work within the limited time constraints.
  1. Gets a high volume of work done to avoid missing deadlines.
  1. Adheres to project timelines.
  1. Stays focused on the job.
  1. Sustains high productivity levels throughout the day.
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. Increased customer satisfaction scores for the quarter.
  1. Works at a quick pace to complete a high volume of work.
  1. Completes work to a high technical standard
  1. Makes use of talents of others to help achieve a high level of performance.
  1. Uses established goals and performance measures to keep track of performance.
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. Demonstrates a commitment to client focus.
  1. Is available to respond to client needs.
  1. Fulfills commitments made to clients.
  1. Makes sure team members understand the issues faced by the client.
  1. Fosters an environment that supports strong client focus.
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. Identifies potential regulatory risks and strategies to mitigate them.
  1. Facilitates others in the development and implementation of changes to business operations.
  1. Recognizes the potential business impact of specific risks.
  1. Assists others in better understanding the company's operations, goals, and strategic challenges.
  1. Anticipates business cycles and trends and makes strategic adjustments in a timely manner.
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. Turns the department's vision into defined objectives and a strategic framework.
  1. Establishes a timeline for attainment of the organization's vision.
  1. Provides staff with the necessary resources, authority, and support to effectively implement and achieve the organization's vision.
  1. Sets a schedule for achieving the organization's vision.
  1. Creates a crystal-clear vision for where the department needs to be in the next 12 months.
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.