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.

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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
Creates the conditions for partnerships to grow and develop.
Partners with peers to obtain influence within the Company.
Collaborates with others to accomplish goals and objectives.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Maintains infrastructure to support partnerships and networks.
Attitude	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Contributes to a positive and fun work environment.
Contributes to a positive work environment.
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
Treats all people fairly and with respect.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides constructive, ongoing feedback.
Resolves personnel problems quickly and effectively.
Delegates effectively.
Is aware of the unique strengths of each employee.
Encourages employees to achieve their full potential.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works cooperatively with others to solve problems.
Finds creative ways to get things done with limited resources.
Actively seeks the root cause of a problem.
Effective in solving problems.
Ability to develop innovative solutions to problems.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completes high-priority work within required timelines.
Does not become flustered by deadlines and timelines.
Keeps and maintains a To-Do list.
Sets a good balance between work and family life.
Deals effectively with interruptions.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Able to focus on a task even when working alone.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Encourages commitment in others to obtain results.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Does not hesitate to address customer concerns or complaints.
Maintains positive customer relationships.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Ensures all customer commitments and requirements are met or exceeded.
Consistently models positive customer service attitudes.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports the efforts of other employees in implementing solutions to problems.
Able to see issues from others' perspectives.
Respects the opinions of other employees.
Forms working relationships with employees from other departments.
Treats others with respect and dignity.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Understands the use of [Company] products and services.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.

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.