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)
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
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Competency
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Competency
  1. Takes the time to actively listen to other team member's perspectives.
  1. Treats other team members with respect.
  1. Builds strong relationships with team members.
  1. Asks other team members to share their opinions.
  1. Willingly share their technical expertise
Please feel free to provide any comments to help explain your answers?

Self Management

Does Not
Exhibit this
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Seldom
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Competency
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  1. Does not allow own emotions to interfere with the performance of others.
  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. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

Does Not
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Seldom
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  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Engages with individuals that have different cultural backgrounds.
  1. Seeks clarification to avoid misunderstandings.
  1. Is responsive to individuals from other cultures.
  1. Supports and mentors others that may have different cultural backgrounds.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Makes you feel enthusiastic about your work
  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
Please feel free to provide any comments to help explain your answers?

Analytical

Does Not
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Competency
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  1. Identifies problems and issues needing resolution.
  1. Selects the appropriate techniques for analysis.
  1. Prioritizes various actions to be taken when solving a problem.
  1. Analyzes issues and reduces them to their component parts.
  1. Analyzes data and information from several sources and arrives at logical conclusions.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
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Seldom
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  1. Accomplishes more despite limitations in time constraints.
  1. Able to get the important jobs done on time.
  1. Encourages coworkers to work productively.
  1. Bundles different tasks together if they can be done at the same time.
  1. Focuses time on the important tasks that add significant value.
Please feel free to provide any comments to help explain your answers?

Achievement

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Seldom
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  1. Demonstrates a well-organized and timely approach to achieve desired results
  1. Rapidly completes tasks and assignments.
  1. Inspires others to work with a sense of urgency.
  1. Strives to meet goals and objectives.
  1. Eliminates bureaucratic barriers to streamline processes.
Please feel free to provide any comments to help explain your answers?

Client Focus

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  1. Gives feedback to the client regularly.
  1. Adapts to changing client needs.
  1. Helps clients feel they are receiving services tailored specifically to their needs.
  1. Makes sure client needs are understood by the team members.
  1. Exceeds expectations of the clients.
Please feel free to provide any comments to help explain your answers?

Business Acumen

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  1. Considers impact of actions on other areas of the organization.
  1. Views problems from a business perspective, opportunity, investment, risks, and anticipated results
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Has an understanding of various asset classes and how to interpret balance sheets.
  1. Understands the costs, profits, markets, and added value of issues.
Please feel free to provide any comments to help explain your answers?

Vision

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  1. Creates a common vision for others.
  1. Communicates a vision of where the Company needs to be in the future.
  1. Demonstrates consistency between words and actions
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Behaves in a way that is consistent with business values & code of conduct
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.