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 an understanding of diverse functions within the Company.
• Develops a sense of trust in subordinates so they can freely interact and share information with others.
• Promotes the understanding of how the department affects the organization overall.
• Collaborates with others to accomplish goals and objectives.
• Partners with peers to obtain influence within the Company.

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

Comments:

Performance

• Effective in performing his/her job.
• Has great overall performance
• Works well in this position.
• ...Produce Quality
• Works effectively in the department.

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

Comments:

Results Oriented

• Stays focused on meeting the needs of customers.
• Explains the "whys" behind organizational objectives
• Provides clear expectations for employees.
• Directs team in prioritizing daily work activities
• 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

• Develops safety guidelines for the department.
• Seeks to reduce the likelihood of accidents.
• Keeps accurate safety records.
• Performs work safely.
• Identifies and addresses safety needs.

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

Comments:

Vision

• Develops action plans to align his/her work with the goals of the organization
• Persuades others to follow the Company's vision.
• Creates a positive vision of the future for the Company.
• Clearly articulates a vision for his/her work and inspires others to support it
• Creates a common vision for others.

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.