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
Aligns efforts, processes, and resources with partners to maximize strategic opportunities.
Optimizes processes by leveraging each function's strength.
Is comfortable working in partnership with colleagues from other departments.
Utilizes contacts to build and strengthen internal support bases.
Facilitates the formation of collaborative relationships with suppliers and vendors.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately attends to/understands ideas which are exchanged.
Listens actively & speaks clearly and directly.
Produces written content that is both succinct and orderly.
Reports progress on goals to the supervisor.
Listens attentively and responds thoughtfully, showing they value the conversation.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly defines duties and tasks to be completed.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Defines goals and objectives for subordinates.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Understands & contributes to development of strategic goals.
Achieves established goals.
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
Encourages commitment in others to obtain results.
Maintains persistence and dedication to achieving results.
Able to focus on a task even when working alone.
Coordinates all department activities into a cohesive team 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 when offered.
Is aware of OSHA safety guidelines.
Identifies and addresses safety needs.
Develops a culture of safety.
Seeks to reduce the likelihood of accidents.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to receiving feedback.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Recognizes and celebrates accomplishments of others.
Creates a work environment that fosters positive feedback to employees.
Sets performance objectives for subordinates that encourages development opportunities.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
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: