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Partnering/Networking- 360 Degree Feedback Survey Sample #3





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)
Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Partnering/Networking, Accountability, Establishing Focus/Direction, Decision Making, Technical, Regulatory/Compliance, Conflict Management, Teamwork, Strategic Insight, Fiscal Management
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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



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Partnering/Networking

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
Usually
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Competency
Always
Exhibits this
Competency
  1. Regularly schedules coffee chats or informal meetups to deepen personal connections.
  1. Strengthens the contacts with other departments.
  1. Develops networks and builds alliances.
  1. Balances the strategic interests of those involved to maintain alliances.
  1. Effectively develops networks with colleagues that have shared interests.
Please feel free to provide any comments to help explain your answers?

Accountability

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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  1. Accepts accountability for their actions and results.
  1. Aware of the consequences for failure to complete the project.
  1. Willingly accepts the obligation to complete the task.
  1. Encourages employees to take on greater responsibilities.
  1. Follows through on commitments made.
Please feel free to provide any comments to help explain your answers?

Establishing Focus/Direction

Does Not
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Competency
Seldom
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Competency
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  1. Works with focus and direction in the face of obstacles.
  1. Translates strategic goals into actionable steps for individuals and teams.
  1. Sets production schedules for the department.
  1. Provides onboarding materials, process guides, and role-specific training to ensure readiness.
  1. Regularly checks in to ensure the team is on track.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
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Competency
Seldom
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Competency
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  1. Supports, encourages or helps others to be sure about the decisions they are making.
  1. Makes decisions that support the department's goals and objectives.
  1. Makes good decisions for the department.
  1. Integrates environmental factors that may restrict or shape decision outcomes.
  1. Asks for additional information when making critical decisions.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Seeks information from others as needed.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Knows how to produce high quality products/work.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Creates a standardized response protocol for responding to compliance related issues.
  1. Creates and distributes code of ethics and code of conduct.
  1. Complies with regulatory requirements for the state.
  1. Coordinates the execution of compliance strategies across departments.
  1. Develops strategies to comply with established regulations.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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Competency
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Competency
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  1. Breaks down conflict into component parts (e.g., interests, emotions, miscommunications) to isolate key drivers.
  1. Anticipates where bottlenecks or competing priorities may cause tension and adjusts systems accordingly.
  1. Seeks to develop a shared understanding of the issues involved.
  1. Facilitates both parties in collaboratively seeking a compromise.
  1. Values the diverse perspectives of others.
Please feel free to provide any comments to help explain your answers?

Teamwork

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Encourages open communication
  1. Promotes a team spirit within and outside department; partners with other groups.
  1. Treats other team members with respect.
  1. Helps the team bounce back from obstacles to progress.
  1. Works cooperatively with others to solve problems.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Recognizes unspoken concerns or morale issues through body language, tone, and team interactions.
  1. Lets employees know how their roles contribute toward the achievement of strategic company objectives.
  1. Leverages internal expertise and external partnerships to expand strategic capabilities.
  1. Identifies potential problems before they become critical incidents.
  1. Converses with customers and clients to get a better insight into their personal needs.
Please feel free to provide any comments to help explain your answers?

Fiscal Management

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Develops of the department's annual budget.
  1. Monitors spending.
  1. Monitors expenses and verifies the need for items purchased.
  1. Keeps excellent records for financial transparency.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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