Partnering/Networking - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

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.

Partnering/Networking

• Seeks to reduce institutional roadblocks to information sharing.
• Collaborates with others to accomplish goals and objectives.
• Partners with peers to obtain influence within the Company.
• Capitalizes on partnerships and networks to enhance the Company's bottom line.
• Supports a partnering/networking culture.

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

Comments:

Performance

• Sets a high standard for job performance.
• Able to organize work.
• ...Produce Quality
• Effectively organizes resources and plans
• ...Overall Performance

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

Comments:

Results Oriented

• Provides clear expectations for employees.
• Directs team in prioritizing daily work activities
• Explains the "whys" behind organizational objectives
• Works toward achievement of goals even when confronted with obstacles.
• Inspires and motivates co-workers to be productive and energetic at work

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

Comments:

Safety

• Keeps accurate safety records.
• Points out behaviors in others that may be unsafe.
• Supports our company's safety programs.
• Develops a culture of safety.
• Participates in safety training when available.

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

Comments:

Vision

• Demonstrates consistency between words and actions
• Persuades others to follow the Company's vision.
• Communicates the vision and strategy of [Company]
• Leads employees in new directions.
• Creates a positive vision of the future for the Company.

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.