Partnering/Networking - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Partnering/Networking mean?
It means that ...
  • You collaborate with others to accomplish goals and objectives.
  • You promote the understanding of how the department affects the organization overall.
  • You develop a sense of trust in subordinates so they can freely interact and share information with others.
  • You support a partnering/networking culture.
  • You seek to reduce institutional roadblocks to information sharing.

To what extent does this person exhibit Partnering/Networking?
Select from one of the ratings below.

Interpersonal Skills

What does Interpersonal Skills mean?
It means that ...
  • You anticipate the concerns of other employees.
  • You demonstrate willingness to work with others.
  • You successfully resolve conflicts and grievances to a win-win solution.
  • You effectively manage conflicts by dealing with them directly and immediately
  • You are trusted by peers and co-workers; others are willing to confide in him/her

To what extent does this person exhibit Interpersonal Skills?
Select from one of the ratings below.

Emotional Intelligence

What does Emotional Intelligence mean?
It means that ...
  • You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
  • You are able to understand others' points of view.
  • You are attentive to emotional cues and interprets others' feelings correctly.
  • You are able to manage your own emotions.
  • You help to make decisions and solve problems using knowledge about how others will react in certain situations.

To what extent does this person exhibit Emotional Intelligence?
Select from one of the ratings below.


What does Initiative mean?
It means that ...
  • You actively work on resolving the issue instead of procrastinating or hoping it will resolve itself.
  • You take action to establish clear and concise deadlines for tasks to be completed.
  • I initiate the development of new products.
  • I look for opportunities to move projects forward.
  • I take corrective action to rectify issues.

To what extent does this person exhibit Initiative?
Select from one of the ratings below.


What does Company mean?
It means that ...
  • You impress upon others the important aspects of [Company].
  • You follow existing procedures and processes.
  • You express loyalty and dedication to [Company] in interactions with others.
  • You attend [Company] gatherings and social events.
  • You understand the use of [Company] products and services.

To what extent does this person exhibit Company?
Select from one of the ratings below.

Areas for Development

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