Partnering/Networking- 360 Degree Feedback Survey Sample #2





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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. 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 as an employee over the last twelve months and the goals you were asked to achieve. 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 become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Partnering/Networking, Adaptability, Action, Self Management, Continual Improvement, Attitude, Quality, Results Oriented, Client Focus, Entrepreneurship
Sample Result Document:
Sample Results
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.

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


Partnering/Networking

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I proactively address potential conflicts by identifying and resolving problems swiftly.
  1. You maintain a strong track record of networking and partnering.
  1. You encourage employees to explore new partnership opportunities to expand market presence.
  1. I create a shared knowledge base or resource center accessible to all partners.
  1. I engage in continuous dialogue through regular meetings or virtual meetups.
What are your suggestions for how you can make improvements
in Partnering/Networking?

Adaptability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are able to step in and help co-workers when needed.
  1. You are open to changes in policies and procedures.
  1. I embrace change and foster an open-minded environment.
  1. You will stop what you are doing to help colleagues in need.
  1. You are able to quickly learn new ways of performing your job.
What are your suggestions for how you can make improvements
in Adaptability?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I make decisions confidently and stand by them.
  1. You delegate tasks and assignments to subordinates as soon as a request is made.
  1. I conduct critical-incident reviews immediately after the event.
  1. You get the job done.
  1. You address safety issues immediately.
What are your suggestions for how you can make improvements
in Action?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You use patience and self-control in working with customers and associates.
  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You do not allow own emotions to interfere with the performance of others.
What are your suggestions for how you can make improvements
in Self Management?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You promote training and development opportunities to enhance job performance.
  1. You look for ways to expand current job responsibilities.
  1. You are open to the suggestions from others.
  1. You look for ways to expand and learn new job skills.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
What are your suggestions for how you can make improvements
in Continual Improvement?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You contribute to a positive work environment.
  1. You build open and trusting relationships.
  1. You contribute to a positive and fun work environment.
  1. You treat all people fairly and with respect.
  1. You are gracious and professional in your interactions with others.
What are your suggestions for how you can make improvements
in Attitude?

Quality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You correct issues in a timely manner.
  1. I effectively coordinate with other departments to improve quality.
  1. I set benchmarks for quality improvements.
  1. You investigate critical incidents that impact quality.
  1. I understand and use established quality procedures/controls.
What are your suggestions for how you can make improvements
in Quality?

Results Oriented

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I adapt to disruptions in the supply chain to maintain production levels.
  1. You recognize the problem that needs to be solved.
  1. You help others when free-time is available.
  1. I views obstacles as opportunities to improve myself.
  1. I achieve long and short-term goals.
What are your suggestions for how you can make improvements
in Results Oriented?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You consistently exceed client expectations.
  1. You obtain feedback to ensure client needs are being met.
  1. You anticipate potential obstacles to meeting client needs.
  1. You use feedback from the client to help improve the client's experience.
  1. You focus on the unique needs of each client.
What are your suggestions for how you can make improvements
in Client Focus?

Entrepreneurship

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You understand the processes and various stages of business development.
  1. You can work effectively in an environment of uncertainty.
  1. You maintain a high level of energy to respond to demands of the job.
  1. You have a strategic awareness on how to promote the organization.
  1. You balance risks and rewards when making decisions.
What are your suggestions for how you can make improvements
in Entrepreneurship?


  1. Strengths


  2. Areas for Development


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