Interpersonal Skills - 360 Degree Feedback Survey Sample #2

Instructions

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 and the goals they were asked to achieve. 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 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.

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

Interpersonal Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Values the opinions of others.
Strives for win/win solutions
Uses tact, compassion, and sensitivity in interactions with others.
Demonstrates willingness to work with others.
Is a role model for others
What are your suggestions for how can make improvements in Interpersonal Skills?
Self Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Consciously controls own negative emotions in order to keep team morale up.
Steps away from a situation to process appropriate response.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
What are your suggestions for how can make improvements in Self Management?
Feedback	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Seeks feedback to enhance performance.
Accepts the views of others.
Asks others for their ideas and opinions.
Is easy to approach with ideas and opinions.
Is visible and approachable.
What are your suggestions for how can make improvements in Feedback?
Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Is ready to offer help
Delegate tasks effectively
Sets an example for others to follow
What are your suggestions for how can make improvements in Management?
Persuasion and Influence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Ensures stakeholders are involved in the decision making process.
Seeks to obtain consensus or compromise.
Communicates effectively with others.
Understanding what others need.
Has excellent influencing/negotiating skills.
What are your suggestions for how can make improvements in Persuasion and Influence?
Problem Solving	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Effective in solving problems.
Ability to develop innovative solutions to problems.
Able to balance the needs of different people in a solution to a problem.
Solves problems using logic and insight.
Identifies and assesses all potential responses to a problem.
What are your suggestions for how can make improvements in Problem Solving?
Objectives	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Assures [Company] principles are understood, employed & pursued.
Communicates goals and objectives to employees.
Organizes and schedules events, activities, and resources.
Ability to establish realistic goals.
Works toward achieving established goals and objectives.
What are your suggestions for how can make improvements in Objectives?
Client Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Looks for opportunities that have a positive impact on Clients.
Maintains strong relationships with clients.
Forms strong client relationships
Ensures client commitments and requirements are met or exceeded
Satisfies client needs.
What are your suggestions for how can make improvements in Client Focus?
Co-worker Development	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
What are your suggestions for how can make improvements in Co-worker Development?
Company	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
What are your suggestions for how can make improvements in Company?

50. Strengths
    
    
    
51. Areas for Development
    
    
    
52. Please give any final comments or suggestions for 's assessment.