Partnering/Networking - 360 Degree Feedback Survey Sample #12





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)
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.

Competencies Included:
Partnering/Networking, Performance, Results Oriented, Safety, Vision
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

  • Creates value within the Company by building networks.
  • Maintains infrastructure to support partnerships and networks.
  • Seeks to reduce institutional roadblocks to information sharing.
  • Builds alliances between departments and teams.
  • Forges mutually beneficial relationships between individuals with diverse backgrounds.
Needs
Improvement		 Fully
Proficient		 Excels/
Role Model






Click this box to make your rating
Comments:

Performance

  • Effectively organizes resources and plans
  • Sets a high standard for job performance.
  • Works effectively in the department.
  • ...Produce Quality
  • Works well in this position.
Needs
Improvement		 Fully
Proficient		 Excels/
Role Model






Click this box to make your rating
Comments:

Results Oriented

  • Determines the best approach to achieving the expected results.
  • Directs team in prioritizing daily work activities
  • Promptly and efficiently completes assigned tasks.
  • Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  • Makes sure employees have the resources they need to achieve their results.
Needs
Improvement		 Fully
Proficient		 Excels/
Role Model






Click this box to make your rating
Comments:

Safety

  • Seeks to reduce the likelihood of accidents.
  • Develops a culture of safety.
  • Encourages others to work safely.
  • Identifies and addresses safety needs.
  • Develops safety guidelines for the department.
Needs
Improvement		 Fully
Proficient		 Excels/
Role Model






Click this box to make your rating
Comments:

Vision

  • Communicates a vision of where the Company needs to be in the future.
  • Persuades others to follow the Company's vision.
  • Behaves in a way that is consistent with business values & code of conduct
  • Expresses the Company vision in a way that is easily understood and adopted by employees.
  • Works to support the strategy of [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.