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.

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 develop networks with other companies to reduce costs and improve services.
  1. You effectively develop networks with colleagues that have shared interests.
  1. You communicate with others in an open manner.
  1. You create the conditions for partnerships to grow and develop.
  1. I aim to foster and sustain relationships rooted in trust and commitment.
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 adjust strategy when new information is presented.
  1. You are able to step in and help co-workers when needed.
  1. You are able to adapt to new environments.
  1. You adapt quickly to new situations.
  1. You perform a wide range of tasks, respond to changes in direction and priorities and accept new challenges, responsibilities, and assignments.
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 pursue goals with action to achieve success.
  1. You get the job done.
  1. You are not afraid to take corrective action when necessary.
  1. I take preemptive actions avoid obstacles or delays.
  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 do not allow own emotions to interfere with the performance of others.
  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 consciously control own negative emotions in order to keep team morale up.
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 look for ways to expand and learn new job skills.
  1. You look for ways to expand current job responsibilities.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  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 show by your actions that you trust in the positive intentions of others.
  1. You treat all people fairly and with respect.
  1. You build open and trusting relationships.
  1. You are gracious and professional in your interactions with others.
  1. You work to eliminate unnecessary work or barriers that get in others' way.
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 are able to anticipate quality issues and take preventative actions.
  1. I set benchmarks for quality improvements.
  1. You recognize your role in promoting quality and safety in the workplace.
  1. I successfully implement quality controls within the department.
  1. I communicate quality standards clearly.
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 direct team in prioritizing daily work activities
  1. I promptly and efficiently complete assigned tasks.
  1. I quickly analyze the situation to determine the most pressing needs.
  1. I am flexible in adjusting priorities to meet the demands of changing situations.
  1. You produce a high volume of work.
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 provide a high level of service to clients.
  1. You put client's needs first.
  1. I build long term relationships with clients.
  1. I am persistent in solving client issues.
  1. You document client interactions.
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 comfortable operating in an environment of uncertainty.
  1. You take the initiative to complete tasks.
  1. You can work effectively in an environment of uncertainty.
  1. You encourage dynamic growth opportunities.
  1. You exhibit determination and passion in completion of goals.
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.