Teamwork- 360 Degree Feedback Survey Sample #11





360 Feedback Survey

Assessments 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)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Teamwork

What does Teamwork mean?
It means that ...
  • I listen carefully to other team members.
  • You communicate well with team members.
  • You show respect for other team members.
  • I build a strong rapport with team members.
  • I facilitate good rapport between team members.

To what extent does this person exhibit Teamwork?
Select from one of the ratings below.

Initiative

What does Initiative mean?
It means that ...
  • You actively work on resolving the issue instead of procrastinating or hoping it will resolve itself.
  • I inform the manager of any important changes in the equipment operation.
  • You seize upon opportunities available.
  • I act independently to solve pressing needs.
  • I initiate the development of new products.

To what extent does this person exhibit Initiative?
Select from one of the ratings below.

Interpersonal Skills

What does Interpersonal Skills mean?
It means that ...
  • I offer constructive criticism to have a positive impact on performance.
  • I am willing to lend a hand to those in the department who need help.
  • I demonstrate positive behaviors for others to follow.
  • I promote acceptance of diverse viewpoints from team members.
  • You are a role model for others demonstrating the importance of interpersonal skills.

To what extent does this person exhibit Interpersonal Skills?
Select from one of the ratings below.

Emotional Intelligence

What does Emotional Intelligence mean?
It means that ...
  • You accurately perceive the emotional reactions of others.
  • You are able to understand others' points of view.
  • You are able to manage your own emotions.
  • You are able to control your own emotions.
  • You are able to express yourself clearly.

To what extent does this person exhibit Emotional Intelligence?
Select from one of the ratings below.

Global Perspective

What does Global Perspective mean?
It means that ...
  • You respect individual differences.
  • You are able to work with others from different cultures and countries.
  • You set the example for team on importance of cultural awareness.
  • You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  • You analyze global issues/problems that are having a large impact on the Company.

To what extent does this person exhibit Global Perspective?
Select from one of the ratings below.
Strengths


Areas for Development


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