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Teamwork- 360 Degree Feedback Survey Sample #3





Competencies Included:
Teamwork, Self Management, Cultural Awareness, Management, Analytical, Time Management, Achievement, Client Focus, Business Acumen, Vision
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.



Edit this Survey
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Teamwork

Does Not
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Competency
Seldom
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Competency
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  1. Demonstrates an understanding of other team member's viewpoints.
  1. Communicates well with team members.
  1. Demonstrates a willingness to work with the team.
  1. Coaches team members
  1. Relates to all kinds of people tactfully
Please feel free to provide any comments to help explain your answers?

Self Management

Does Not
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  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. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Analyzes interpersonal problems instead of reacting to them.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

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  1. May advocate for others with different cultural backgrounds.
  1. Willing to work with employees who have different cultural backgrounds.
  1. Develops skills and attitudes to bridge cultural differences.
  1. Is sensitive to the similarities and differences that exist between cultures.
  1. Encourages inclusive participation in culturally significant events and observances
Please feel free to provide any comments to help explain your answers?

Management

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  1. Fosters ongoing, two-way communication within the team.
  1. Empowers employees to structure their work schedule to maximize their productivity.
  1. Delegates stretch assignments that foster skill growth and sustain motivation.
  1. Welcomes input and suggestions from the employees.
  1. Sets clear expectations and reinforces accountability through consistent follow-through.
Please feel free to provide any comments to help explain your answers?

Analytical

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  1. Uses standard data collection practices.
  1. Creates new visualizations of the data.
  1. Is willing to seek out and consider alternative viewpoints.
  1. Tests hypotheses, analyze experimental data, and draw conclusions.
  1. Check the credibility of information sources.
Please feel free to provide any comments to help explain your answers?

Time Management

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  1. Allocates time to the highest priority items.
  1. Maintains precise time logs for billing.
  1. Provides accurate estimates for the amount of time needed to accomplish certain tasks.
  1. Makes time for developing plans and schedules.
  1. Completes work on a timely basis.
Please feel free to provide any comments to help explain your answers?

Achievement

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  1. Strives for operational excellence by refining workflows and optimizing procedures.
  1. Makes use of talents of others to help achieve a high level of performance.
  1. Systematically works to improve the organization
  1. Maintains high performance standards.
  1. Takes calculated risks.
Please feel free to provide any comments to help explain your answers?

Client Focus

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  1. Thoroughly understands the needs of the client.
  1. Creates an environment that enables clients to receive excellent service.
  1. Gets feedback from the client on a weekly basis.
  1. Is committed to the success of the client.
  1. Creates new and innovative products for clients.
Please feel free to provide any comments to help explain your answers?

Business Acumen

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  1. Recognizes the individual needs of customers.
  1. Understands the financial metrics used by the company.
  1. Establishes key performance indicators (KPIs) to measure progress and success.
  1. Understands cash flow procedures and statements.
  1. Is adept at recognizing new opportunities and fostering a culture of innovation ensuring the organization stays ahead of industry trends and continues to evolve.
Please feel free to provide any comments to help explain your answers?

Vision

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  1. Skilled at identifying problems and envisioning effective solutions.
  1. Entrusts team members with executing the vision.
  1. Provides staff with the necessary resources, authority, and support to effectively implement and achieve the organization's vision.
  1. Analyzes data and industry patterns to forecast opportunities and challenges.
  1. Develops a vision that is a catalyst for innovation and change.
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.