Partnering/Networking - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Partnering/Networking

• Ensures all participants in the network are treated fairly and equitably.
• Attends industry conferences and seminars to meet new contacts and learn from industry leaders.
• Builds trust with colleagues and coworkers.
• Can perform a SWOT analyses (Strengths, Weaknesses, Opportunities, Threats) of the partnership's potential outcomes.
• Reinforces the contacts with other organizations.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Performance

• Has great overall performance
• Works effectively in the department.
• Able to organize work.
• Shown significant improvement in job performance.
• Works well in this position.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Results Oriented

• Strives to exceed performance benchmarks.
• Identifies what needs to be accomplished.
• Prioritizes goals to complete those in urgent need first.
• Exceeds performance requirements.
• Concentrates efforts on the most urgent needs.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Safety

• Develops a sustainable safety culture.
• Supports safety programs and procedures.
• Mitigates hazards and safety issues that arise.
• Performs work safely.
• Develops a strong safety culture.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Vision

• Pinpoints specific challenges that the company faces and meticulously crafts tailored solutions to overcome these obstacles.
• Creates a common vision for others.
• Determined to bring the strategic vision to fruition.
• Develops an inspiring and ambitious vision for the organization's future.
• Defines a roadmap for realizing the organization's vision.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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