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 develop a sense of trust in subordinates so they can freely interact and share information with others.
  • You forge mutually beneficial relationships between individuals with diverse backgrounds.
  • You create the conditions for partnerships to grow and develop.
  • You maintain infrastructure to support partnerships and networks.
  • You partner with peers to obtain influence within the Company.

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 come across as credible, knowledgeable and sincere
  • You are able to work with individuals at all levels of the company.
  • You effectively manage conflicts by dealing with them directly and immediately
  • You strive for win/win solutions
  • You create an atmosphere that supports the open expression of ideas

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 are able to express yourself clearly.
  • You are attentive to emotional cues and interprets others' feelings correctly.
  • You help to make decisions and solve problems using knowledge about how others will react in certain situations.
  • You are able to control your own emotions.
  • You are able to understand others' points of view.

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


What does Initiative mean?
It means that ...
  • You go above and beyond the stated goals.
  • You immediately work to complete goals well before your deadline.
  • You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  • You take action without being asked.
  • You seek and utilize opportunities for continuous learning and self-development.

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


What does Company mean?
It means that ...
  • You follow existing procedures and processes.
  • You understand the use of [Company] products and services.
  • You attend [Company] gatherings and social events.
  • You express loyalty and dedication to [Company] in interactions with others.
  • You understand the "basics" as to how [Company] functions/operates.

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.