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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.
Edit this Survey
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Partnering/Networking

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I create joint initiatives or projects that serve the common interests of all parties.
  1. I engage in partnerships that produce significant results.
  1. I host forums, colloquiums, and seminars to share information and ideas.
  1. I build alliances with others in the company.
  1. You capitalize on partnerships and networks to enhance the Company's bottom line.
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 handle changes easily.
  1. You are aware of changes to team personnel.
  1. You easily accept new responsibilities.
  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. You stay committed to my goals even when progress is slow.
  1. You decide to act rather than remain passive.
  1. I navigate organizational structures and boundaries to achieve goals.
  1. I take responsibility for actions.
  1. You make effective decisions
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 deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You step away from a situation to process appropriate response.
  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 are open to the suggestions from others.
  1. You look for ways to expand current job responsibilities.
  1. You look for ways to improve work processes and procedures.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You analyze processes to determine areas for improvement.
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 are gracious and professional in your interactions with others.
  1. You build open and trusting relationships.
  1. You contribute to a positive and fun work environment.
  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 develop specific quality standards/goals to be met within a specified timeframe.
  1. I view quality issues as a system failure rather than an individual failure.
  1. I maintain detailed instructions to ensure consistency and quality in the production line.
  1. You recognize your role in promoting quality and safety in the workplace.
  1. I set benchmarks for quality improvements.
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 am motivated by a strong desire to exceed performance standards.
  1. I persist in seeking objectives despite obstacles or setbacks.
  1. I quickly analyze the situation to determine the most pressing needs.
  1. You set a common goals for the team.
  1. I set benchmarks and milestones to measure progress toward the objectives.
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 put client's needs first.
  1. I deliver customized solutions for each client.
  1. You document client interactions.
  1. I build long term relationships with clients.
  1. You identify the most pressing 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 take the initiative to complete tasks.
  1. You understand the processes and various stages of business development.
  1. You are excellent at managing relationships with stakeholders.
  1. You can work effectively in an environment of uncertainty.
  1. You encourage dynamic growth opportunities.
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.