Partnering/Networking- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Partnering/Networking:
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:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

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.

Competencies Included:
Partnering/Networking, Administrative Skill, Creativity, Continual Learning, Cultural Awareness, Establishing Focus/Direction, Supervisory Skills, Change Management, Excellence, Trustworthy, Strategic Focus, Vision
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

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


Partnering/Networking

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Actively listens to understand different perspectives and identify common interests.
  1. Plans and engages resources to the partnership effort while monitoring and evaluating progress and achievements.
  1. Networks with clients to determine improvements in operations.
  1. Facilitates cross-functional collaboration and information sharing between various stakeholders.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?

Administrative Skill

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. High attention to detail.
  1. Has strong technical/computer skills.
  1. Implements and uses performance measures.
  1. Accurately implements contract provisions.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is creative and inspirational.
  1. Conceives, implements and evaluates ideas.
  1. Is creative.
  1. Inspires creativity in their team.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes the initiative to learn new skills.
  1. Pursues professional development opportunities when they arise.
  1. Improves on their skill sets.
  1. Pursues learning that will enhance job performance.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Cultural Awareness

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Avoids referring to stereotypes about others from different cultures.
  1. Values the diverse perspectives from others.
  1. Views diversity as a strength, not as an issue.
  1. Seeks to reduce obstacles in communication that might arise from cultural differences.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Establishing Focus/Direction

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Excellent at managing time.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Aligns the department's goals with the goals of the organization.
  1. Sets appropriate goals for employees.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?

Supervisory Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Asks employees for their input in decisions that may directly affect the team.
  1. Effective in resolving conflicts to mutual satisfaction of the parties.
  1. Provides clear expectations of outcomes during performance reviews.
  1. Provides detailed feedback to employees.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?

Change Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Inspires others to accept changes.
  1. Is an inspiration for others to accept the recent changes.
  1. Is a leading force driving changes.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes a lot of pride in their work.
  1. Demonstrates the analytical skills to do their job.
  1. Can be counted on to add value wherever they are involved.
  1. Produces high quality work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Works in a way that makes others want to work with her/him.
  1. Takes ownership, delivers on commitments
  1. Demonstrates congruence between statements and actions.
  1. Builds and maintains the trust of others.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Strategic Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Makes sure the objectives are clearly communicated and understood.
  1. Makes strategic decisions to optimize the returns on capital investments.
  1. Makes strategic decisions that take into account a dynamic situation.
  1. Strategically positions resources to meet the needs of branch locations.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

Vision

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Effectively communicates the vision to employees.
  1. Creates a common vision for others.
  1. Diagnoses issues and envisions solutions.
  1. Creates a crystal-clear vision for where the department needs to be in the next 12 months.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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