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
Seeks to reduce institutional roadblocks to information sharing.
Willingly participates on committees and project teams.
Develops networks with other companies to reduce costs and improve services.
Creates an environment that supports information exchange.
Proactively addresses potential conflicts by identifying and resolving problems swiftly.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands and adjusts delivery of communications to maximize impact.
Prepares and delivers presentations.
Updates others on changes or progress in plans and goals.
Delivers well-prepared, informed, poised and succinct presentations.
Is professional at all times--never ridiculing, mocking or undermining peers or subordinates.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Selects the right employee for the job by matching the task to the employee's expertise, strengths, and interests.
Defines goals and objectives for subordinates.
Sets deadlines and defines success criteria for delegated tasks.
Monitors progress through structured check-ins without disrupting workflow or autonomy.
Encourages employee self-assessment to better understand where preferred tasks and work styles would be most effective.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Serves as a committed partner to significantly enhance the probability of achieving objectives.
Strategically aligns goals to enhance customer satisfaction and loyalty by understanding customer needs and expectations.
Evaluates the availability of resources, including time, money, equipment, and personnel, to establish the priority of goals.
Maintains a clear overview of each goal's requirements and deadlines.
Provides constructive feedback and offers assistance when needed to help the team achieve its goals.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
Takes immediate action toward goals.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to attend safety training.
Works to implement corrective safety measures.
Develops safety guidelines for the department.
Participates in safety training when available.
Supports safety programs and procedures.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates opportunities for professional development.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Provides constructive feedback to others.
Assigns tasks and responsibilities to develop skills of others.
Tries to ensure employees are ready to move to the next level.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes on new projects without compromising existing work.
Communicates long-term goals with enthusiasm and clarity, helping employees see what's possible.
Defines clear roles and responsibilities to reduce friction and enhance coordination
Speaks confidently about the company's ability to adapt and thrive.
Makes sure employees have a sense of belonging and purpose in the organization.

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: