Partnering/Networking- 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Creates value within the Company by building networks.
Builds alliances between departments and teams.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Maintains infrastructure to support partnerships and networks.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
An effective listener who is responsive to information needs.
Delivers well-prepared, informed, poised and succinct presentations.
Communicates effectively with colleagues and customers
Deals with difficult situations calmly and confidently.
Listens to others' points of view with an open mind
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Assigns tasks to create learning opportunities for the employees.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Achieves established goals.
Achieves goals.
Makes sure that I have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that team members have a clear idea of our group's goals.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coordinates all department activities into a cohesive team effort.
Maintains persistence and dedication to achieving results.
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Participates in safety training as applicable.
Works to implement corrective safety measures.
Develops a culture of safety.
Develops a sustainable safety culture.
Committed to safety in the workplace.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets performance objectives for subordinates that encourages development opportunities.
Creates opportunities for professional development.
Provides constructive feedback to others.
Recognizes and celebrates accomplishments of others.
Encourages employees through recognition of positive changes in behavior.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.

41. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


43. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    


44. What changes do you see [Company] making in order to raise the standards?
    
    


45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


46. What do you like best about working for [Company]?
    
    


47. What do you like least about working for [Company]? How could it be improved?
    


93. Use the space below to enter any final comments you would like to be noted: