Teamwork- 360 Degree Feedback Survey Sample #8

Questionnaires 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)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
  1. Creates a climate that encourages team participation.
  1. Identifies and resolves conflicts within the team to increase team effectiveness
  1. Carries his/her share of the workload
  1. Builds consensus and shares relevant information.


Agree Unsure Disagree N/A
  1. Identifies new opportunities to achieve goals
  1. Works effectively during periods of change.
  1. Open to the perspectives/viewpoints of others.
  1. Willing to try new ideas.
  1. Implements changes as a result of having listened to employees

Bias for Action

Agree Unsure Disagree N/A
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Encourages risk taking and experimentation to improve performance
  1. Displays high energy and enthusiasm on consistent basis.
  1. Completes work on time


Agree Unsure Disagree N/A
  1. Allows subordinates to use their own methods and procedures.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Defines goals and objectives for subordinates.
  1. Clearly defines duties and tasks to be completed.
  1. Entrusts subordinates with important tasks.

Managing Risk

Agree Unsure Disagree N/A
  1. Maintains open communication with other departments.
  1. Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
  1. Recognizes that small changes may snowball into major events.
  1. Works within constraints of the organization.
  1. Able to adapt quickly to changing situations.


Agree Unsure Disagree N/A
  1. Keeps informed of various regulations and procedures.
  1. Ensures regulations are followed as required.
  1. Understands and adheres to internal and external regulations.
  1. Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  1. Understands the applicable regulations and laws that impact our business.

Developing Others

Agree Unsure Disagree N/A
  1. Provides constructive feedback to others.
  1. Recognizes and celebrates accomplishments of others.
  1. Creates opportunities for professional development.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Encourages employees through recognition of positive changes in behavior.


Agree Unsure Disagree N/A
  1. Lets employees know when they have done well
  1. Recognizes individuals for a specific outstanding achievement.
  1. Makes people around them feel appreciated and valued.
  1. Says "thank you" to show appreciation for work of others.
  1. Recognizes team members who offer a significant contribution to a project.

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

  2. Strengths

  3. Areas for Development

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