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
Is an active member of professional associations or professional groups to stay connected with peers.
Uses networks of personal contacts to gain introductions to others who may have valuable information.
Shares and develops cutting-edge ideas with a network of colleagues, fostering a culture of innovation and continuous improvement.
Networks with clients to determine improvements in operations.
Creates joint ventures with others to create new entities to pursue a common goal.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shares important information with others.
Delivers effective public presentations.
Faces the person when speaking or listening to engage in direct communication.
Communicates effectively with all levels of the organization.
Effectively engages with everyone from the CEO to external partners.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Allows employees to decide how they wish to complete the tasks.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Defines goals and objectives for subordinates.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Clearly defines duties and tasks to be completed.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes and documents goals and objectives.
Conducts timely follow-up; keeps others informed on a need to know basis.
Understands & contributes to development of strategic goals.
Achieves goals.
Achieves established goals.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Coordinates all department activities into a cohesive team effort.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops safety guidelines for the department.
Seeks to reduce the likelihood of accidents.
Participates in safety training as applicable.
Performs work safely.
Mitigates hazards and safety issues that arise.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
Assesses employees' developmental needs.
Supports the successes of other employees.
Recognizes and celebrates accomplishments of others.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.

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: