Teamwork- 360 Degree Feedback Survey Sample #4





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)
Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Sample Result Document:
Sample Results
Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.




Teamwork

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Helps the team make good decisions even under conditions of uncertainty.
  1. Committed to the successful completion of team goals.
  1. Promotes a team spirit within and outside department; partners with other groups.
  1. Encourages teamwork and collaboration.
  1. Listens to other team members without interrupting them.

Leadership

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Recognizes individual and team accomplishments and reward them appropriately.
  1. Guides decision-making by coaching, counseling and rewarding.
  1. Expresses clear goals and objectives.
  1. Highly effective supervisor.
  1. Gives direct, constructive, and actionable feedback.

Feedback

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Looks to others for input.
  1. Is easy to approach with ideas and opinions.
  1. Considers other's opinion and suggestions.
  1. Actively seeks feedback from others.
  1. Accepts the views of others.

Initiative

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Completes tasks without having to be told to do so.
  1. Guides strategic initiatives to advance the department/organization.
  1. Initiates draft reports for consideration.
  1. Builds strong interpersonal relationships upon first meeting.
  1. Capitalizes on opportunities as they become available.

Juggling Multiple Responsibilities

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Spends the most time and effort on critical tasks first.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. Begins tasks as soon as possible.

Safety

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Ensures compliance with safety regulations.
  1. Develops a strong safety culture.
  1. Committed to safety in the workplace.
  1. Seeks to reduce the likelihood of accidents.
  1. Encourages others to work safely.

Co-worker Development

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Takes immediate action on poor performance
  1. Provides ongoing feedback to co-workers on their development progress

Organizational Fluency

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Gets things done through the department.
  1. Anticipates problems that may affect the department.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Adept at navigating within the culture of the department.
  1. Able to use corporate politics to advance department objectives.


  1. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?






  2. Would you refer others who are seeking employment to [Company]?


    Please provide explanation:


  3. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?


  4. What changes do you see [Company] making in order to raise the standards?


  5. I feel good about my continued employment with [Company].


    If no, please provide explanation:


  6. What do you like best about working for [Company]?


  7. What do you like least about working for [Company]? How could it be improved?


  8. Use the space below to enter any final comments you would like to be noted: