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.
Builds alliances between departments and teams.
Collaborates with others to accomplish goals and objectives.
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
Treats all people fairly and with respect.
Contributes to a positive work environment.
Shows by their actions that they trust in the positive intentions of others.
Visibly supports and encourages diversity in style and background.
Is gracious and professional in their interactions with others.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides constructive, ongoing feedback.
Sets the objectives to be completed for the shift.
Oversees the work of a group of employees.
Promotes teamwork and cooperation within the department.
Facilitates open communication between employees.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Able to balance the needs of different people in a solution to a problem.
Makes judgments based upon relevant information.
Solves problems using logic and insight.
Understands the root causes of problems.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Successfully completes critical tasks within deadlines.
Tackles major tasks or problems first before addressing minor issues.
Stays on track by effectively using the project schedule.
Tackles the biggest problems at the start of the day.
Maintains precise time logs for billing.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coordinates all department activities into a cohesive team effort.
Willing to do whatever it takes-not afraid to have to put in extra effort.
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.
Maintains persistence and dedication to achieving results.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for opportunities that have a positive impact on customers.
Creates documents that meet the customer's specifications.
Anticipates and proactively resolves issues that the customer may face.
Interacts with customers to define roles, expectations, and responsibilities.
Creates new and innovative products for customers.
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.
...treats others with respect and dignity.
Treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Understands the use of [Company] products and services.

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.