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 increase exchanges of information with other companies/colleagues.
Organizing team-building activities to strengthen bonds between colleagues.
Provides or participates in joint ventures or co-development projects.
Creates joint initiatives or projects that serve the common interests of all parties.
Expands network of colleagues to include others who may contribute to the department's success.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes on challenging questions and provides instant answers.
Ready to offer feedback, even if it involves tough critiques.
Comes across as comfortable and effective as a public speaker
Produces written content that is both succinct and orderly.
Deconstructs complex issues into understandable segments.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets clear and reasonable expectations for others and follows through on their progress.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Allows employees to decide how they wish to complete the tasks.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Entrusts subordinates with important tasks.
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.
Makes sure that team members have a clear idea of our group's goals.
Establishes and documents goals and objectives.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves goals.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to focus on a task even when working alone.
Coordinates all department activities into a cohesive team effort.
Encourages commitment in others to obtain results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Mitigates hazards and safety issues that arise.
Points out behaviors in others that may be unsafe.
Encourages others to work safely.
Develops a sustainable safety culture.
Seeks to reduce the likelihood of accidents.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Tries to ensure employees are ready to move to the next level.
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Provides constructive feedback to others.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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.
Expresses loyalty and dedication to [Company] in interactions with others.

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: