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Partnering/Networking- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Surveys Measuring Partnering/Networking:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
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



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Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Forges mutually beneficial relationships between individuals with diverse backgrounds.
  1. Provides or participates in joint ventures or co-development projects.
  1. Facilitates cross-functional collaboration and information sharing between various stakeholders.
  1. Reinforces the contacts with other organizations.
  1. Proactively addresses potential conflicts by identifying and resolving problems swiftly.


Attitude

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Enjoys discussing progress, especially in team meetings or performance reviews.
  1. Encourages shared learning by valuing contributions from others, asking thoughtful questions, and integrating feedback into practice.
  1. Encourages others to take initiative by modeling courage and forward momentum.
  1. Is gracious and professional in their interactions with others.
  1. Speaks with civility and kindness, even under pressure or during disagreement.


Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Completes assessments in a timely manner.
  1. Maintains professional interactions with peers, customers, and employees.
  1. Knows the best ways to communicate effectively with different types of employees.
  1. Encourages employees to achieve their full potential.
  1. Provides timely and thorough performance evaluations of employees.


Problem Solving

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Analyzes alternatives and selects a course of action.
  1. Solves problems at root cause rather than at symptom level.
  1. Anticipates potential problems dealing with them in advance.
  1. Values the diversity of thought that can uncover unique angles and approaches that might not emerge in a more homogeneous group.
  1. Gathers relevant data to track the solution's performance and identify any trends or patterns.


Time Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Approaches work with a sense of urgency.
  1. Wastes very little time.
  1. Completes high-priority work within required timelines.
  1. Sets a good balance between work and family life.
  1. Leverages teams and assigns specialized tasks to maximize productivity.


Commitment To Result

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Maintains persistence and dedication to achieving results.
  1. Encourages commitment in others to obtain results.
  1. Able to focus on a task even when working alone.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.


Customer Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Effectively solves customer-related problems.
  1. Understands the needs of the customer.
  1. Tailors solutions to meet the specific needs of each customer.
  1. Delivers high quality products to the customer.
  1. Consistently models positive customer service attitudes.


Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Respects the opinions of other employees.
  1. Helpful
  1. Constructively receives criticism and suggestions from others.
  1. Is able to see issues from others' perspectives.


Company

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Fosters an organizational culture that focuses on collaboration, respect, and continuous learning.
  1. Creates a work environment that employees appreciate and are able to be productive.
  1. Helps employees feel a personal connection to our mission and values.
  1. Promotes CompanyName as a high quality company.
  1. Facilitates the company's big impact on the local community.



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






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.