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





Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Strengthens the contacts with other departments.
  1. Works to combine the unique strengths of each partner to develop new products or services.
  1. Develops alliances with colleagues at other companies.
  1. Participates in conflict resolution to find mutually beneficial solutions.
  1. Engages in collaborative training sessions or workshops to build skills across organizations.


Attitude

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is gracious and professional in their interactions with others.
  1. Contributes to a positive work environment.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Builds open and trusting relationships.
  1. Shows by their actions that they trust in the positive intentions of others.


Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Leads others through their commitment to the department.
  1. Sets clear expectations for acceptable performance.
  1. Maintains disciplinary policy and fair enforcement of work rules
  1. Provides detailed feedback to employees.
  1. Resolves personnel problems quickly and effectively.


Problem Solving

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Works cooperatively with others to solve problems.
  1. Implements effective solutions to critical problems.
  1. Actively seeks the root cause of a problem.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Ability to solve problems at root cause rather than at symptom level.


Time Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Allocates time to the highest priority items.
  1. Avoids delays by working quickly.
  1. Usually works at a fast pace to get more done.
  1. Processes items in the inbox instead of letting them accumulate.
  1. Frequently arrives early to start the day.


Commitment To Result

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Maintains persistence and dedication to achieving results.
  1. Able to focus on a task even when working alone.
  1. Takes immediate action toward goals.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.


Customer Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Provides a responsive service that meets the needs of customers.
  1. Creates high quality products for the customers.
  1. Maintains up-to-date information regarding customer products.
  1. Has received good feedback from customers.
  1. Able to handle difficult customers.


Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Works across boundaries within the organization.
  1. Forms working relationships with employees from other departments.
  1. Consistently demonstrates ability and willingness to trust others.
  1. Works effectively with people from other departments.
  1. Includes others in the decision making processes.


Company

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Impresses upon others the important aspects of [Company].
  1. Understands the use of [Company] products and services.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Follows existing procedures and processes.
  1. Understands how decisions impact other business units beyond their immediate department of work group.



  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.