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. You seek to reduce institutional roadblocks to information sharing.
  1. You partner with peers to obtain influence within the Company.
  1. You develop a sense of trust in subordinates so they can freely interact and share information with others.
  1. You forge mutually beneficial relationships between individuals with diverse backgrounds.
  1. You promote the understanding of how the department affects the organization overall.
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 learn from personal experiences and/or mistakes.
  1. You can adjust tactics and strategies.
  1. You are open to change and adjusts plans when needed.
  1. You are aware of changes to the policies and procedures.
  1. You can adjust priorities to the new Corporate mission.
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 take responsibility for meeting performance standards.
  1. I do not procrastinate when there is a job to be done.
  1. I overcome obstacles that may impede progress on a task.
  1. You look for extra ways to help the department achieve performance goals.
  1. You drive and mobilizes others progress toward goals.
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 set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  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 analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You step away from a situation to process appropriate response.
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 are open to the suggestions from others.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You look for ways to expand current job responsibilities.
  1. You look for ways to improve work processes and procedures.
  1. You promote training and development opportunities to enhance job performance.
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 visibly support and encourages diversity in style and background.
  1. You contribute to a positive and fun work environment.
  1. You work to eliminate unnecessary work or barriers that get in others' way.
  1. You are gracious and professional in your interactions with others.
  1. You show by your actions that you trust in the positive intentions of 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 analyze what occurred and re-adjusts accordingly when goals are not met.
  1. You encourage employees to produce the best quality products.
  1. You always strive to produce the highest quality work products.
  1. You hold employees accountable for your quality of work.
  1. You encourage others to achieve high quality standards.
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. You prioritize goals to complete those in urgent need first.
  1. You respond to changing events to maintain progress toward achieving results.
  1. I am motivated by a strong desire to exceed performance standards.
  1. I am flexible in adjusting priorities to meet the demands of changing situations.
  1. I set challenging goals to be achieved.
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. I am competent in managing client projects.
  1. You obtain feedback to ensure client needs are being met.
  1. I consistently meet client's needs.
  1. You treat clients with courtesy and respect.
  1. You anticipate client needs.
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 are excellent at managing relationships with stakeholders.
  1. You balance risks and rewards when making decisions.
  1. You maintain a high level of energy to respond to demands of the job.
  1. You encourage risk taking for developing potential business opportunities.
  1. You can work effectively in an environment of uncertainty.
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.