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
Collaborates with others to accomplish goals and objectives.
Builds alliances between departments and teams.
Supports and encourages relationships that are created by diverse team members.
Maintains infrastructure to support partnerships and networks.
Partners with peers to obtain influence within the Company.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is an effective communicator
Able to deliver presentations.
Communicates effectively with colleagues and customers
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Gives clear and convincing presentations.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines goals and objectives for subordinates.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Allows employees to decide how they wish to complete the tasks.
Entrusts subordinates with important tasks.
Clearly defines duties and tasks to be completed.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Goal Setting
Establishes and documents goals and objectives.
Makes sure that team members have a clear idea of our group's goals.
Achieves established goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
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.
Takes immediate action toward goals.
Encourages commitment in others to obtain results.
Able to focus on a task even when working alone.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is not afraid to question a potential safety issue observed in the workplace.
Identifies predictable hazards in the workplace.
Participates in safety training as applicable.
Performs work safely.
Creates accurate and effective measures of safety.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a work environment that fosters positive feedback to employees.
Assesses employees' developmental needs.
Assigns tasks and responsibilities to develop skills of others.
Creates opportunities for professional development.
Supports the successes of other employees.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
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: