Interpersonal Skills - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Applies appropriate communication techniques to the situation.
Is a role model for others
Provides constructive feedback in a way that fosters acceptance and development.
Demonstrates willingness to work with others.
Effectively manages conflicts by dealing with them directly and immediately
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Emotional Intelligence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Is able to express themselves clearly.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
If were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?
Developing Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Is open to receiving feedback.
Tries to ensure employees are ready to move to the next level.
Provides constructive feedback to others.
Supports the successes of other employees.
Encourages employees through recognition of positive changes in behavior.
If were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?
Bias for Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Seeks and utilizes opportunities for continuous learning and self-development.
Completes work on time
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Displays high energy and enthusiasm on consistent basis.
If were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets a high standard for job performance.
Able to organize work.
Shown significant improvement in job performance.
Works effectively in the department.
Has great overall performance
If were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Seeks input from key people who should be involved in, or will be affected by, decisions
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Asks for additional information when making critical decisions.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
If were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Change Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Supports the Company's efforts to implement changes.
Effective in implementing new organizational vision and values.
Assists others in understanding changes to the organization.
Supports new initiatives for organizational changes to improve effectiveness.
Addresses organizational and departmental resistance to changes.
If were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Technology Use/Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Maximizes the use of new technology to deliver products and services.
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
If were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Explains regulations and procedures to others as required.
Keeps informed of various regulations and procedures.
Addresses issues quickly before they develop into major problems.
Maintains a state of readiness to address new and changing regulations and procedures.
If were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Understands complex issues and problems.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Asks the 'right' questions to size up or evaluate situations.
Able to align resources to meet the business needs of the company.
If were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

51. What are 's greatest strengths demonstrated this year?
    
    
    
52. What are 's areas for development?
    
    
    
53. Please give any final comments or suggestions for 's assessment.