Partnering/Networking- 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports and encourages relationships that are created by diverse team members.
Seeks to reduce institutional roadblocks to information sharing.
Maintains infrastructure to support partnerships and networks.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Attitude	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works to eliminate unnecessary work or barriers that get in others' way.
Treats all people fairly and with respect.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Builds open and trusting relationships.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Conducts regular progress meetings to ensure adherence to the schedule.
Offers non-monetary rewards as incentives for employees.
Sets a good example for others to follow.
Seeks to enhance the performance of employees under their supervision.
Demonstrates exemplary work performance that others should follow.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works cooperatively with others to solve problems.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Actively seeks the root cause of a problem.
Effective in solving problems.
Implements effective solutions to critical problems.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses agendas when chairing or facilitating meetings.
Does not become flustered by deadlines and timelines.
Sets clearly defined goals.
Completes tasks ahead of schedule.
Sets a good balance between work and family life.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages commitment in others to obtain results.
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.
Takes immediate action toward goals.
Maintains persistence and dedication to achieving results.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Thoroughly understands the needs of the customer.
Makes sure customer needs are understood by the team members.
Is aware of what the customer wants to receive.
Builds long term relationships with customers.
Effectively troubleshoots customer issues.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to see issues from others' perspectives.
Supports the efforts of other employees in implementing solutions to problems.
Helpful
Respects the opinions of other employees.
Includes others in the decision making processes.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Attends [Company] gatherings and social events.

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.