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
Supports and encourages relationships that are created by diverse team members.
Creates value within the Company by building networks.
Supports a partnering/networking culture.
Promotes the understanding of how the department affects the organization overall.
Creates the conditions for partnerships to grow and develop.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conveys ideas confidently and succinctly.
Summarizes the question to verify comprehension.
Engages in clear communication with both senior and junior management.
Updates others on changes or progress in plans and goals.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Sets clear and reasonable expectations for others and follows through on their progress.
Defines goals and objectives for subordinates.
Allows subordinates to use their own methods and procedures.
Entrusts subordinates with important tasks.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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.
Establishes and documents goals and objectives.
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
Committed to the team.
Takes immediate action toward goals.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Encourages commitment in others to obtain results.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works to implement corrective safety measures.
Creates accurate and effective measures of safety.
Identifies predictable hazards in the workplace.
Points out behaviors in others that may be unsafe.
Commits adequate resources toward safety measures.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets performance objectives for subordinates that encourages development opportunities.
Provides constructive feedback to others.
Is open to receiving feedback.
Supports the successes of other employees.
Encourages employees through recognition of positive changes in behavior.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Understands how decisions impact other business units beyond their immediate department of work group.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.

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: