Partnering/Networking - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Assessments 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)

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 comment section for that competency. 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.


  • Builds alliances between departments and teams.
  • Promotes the understanding of how the department affects the organization overall.
  • Capitalizes on partnerships and networks to enhance the Company's bottom line.
  • Creates the conditions for partnerships to grow and develop.
  • Supports a partnering/networking culture.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?

Professional Development

  • Seeks opportunities for professional development.
  • Allows employees to fully participate in employee training and professional development.
  • Seeks opportunities for continuous learning.
  • Encourages employees to take courses relevant to their job.
  • Keep themselves up-to-date of technical/professional issues
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?

Commitment To Result

  • Creates a sense of urgency among the store team members to complete activities, which drive sales.
  • Maintains persistence and dedication to achieving results.
  • Committed to the team.
  • Willing to do whatever it takes-not afraid to have to put in extra effort.
  • Takes immediate action toward goals.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?

Co-worker Development

  • Adapts coaching and mentoring approach to meet the style or needs of individuals
  • Provides ongoing feedback to co-workers on their development progress
  • Takes immediate action on poor performance
  • Sets and clearly communicates expectations, performance goals, and measurements to others
  • Works to identify root causes of performance problems
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?


  • Respects the opinions of other employees.
  • Works across boundaries within the organization.
  • Works effectively with people from other departments.
  • Supports the efforts of other employees in implementing solutions to problems.
  • Forms working relationships with employees from other departments.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

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