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Interpersonal Skills - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Interpersonal Skills:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Interpersonal Skills, Adaptability, Continual Improvement, Quality, Innovation, Goals, Commitment To Result, Technical, Responsible, Coaching, Conflict Management, Global Perspective
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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



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Interpersonal Skills

Does Not
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Seldom
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  1. Is thoughtful and honest about the feedback they give others.
  1. Values the opinions of others.
  1. Offers praise to colleagues who have successfully completed major projects.
  1. Honest about owning up to mistakes made.
  1. Maintains open and regular communication with others.
Please feel free to provide any comments to help explain your answers?

Adaptability

Does Not
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  1. Able to quickly learn new ways of performing their job.
  1. Handles changes easily.
  1. Can take on new assignments.
  1. Handles unexpected events without a loss of productivity.
  1. Adjusts strategy when new information is presented.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

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  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Promotes training and development opportunities to enhance job performance.
  1. Open to the suggestions from others.
Please feel free to provide any comments to help explain your answers?

Quality

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  1. Presents quality information and data in an easy to understand format.
  1. Recognizes their role in promoting quality and safety in the workplace.
  1. Identifies strategies and their associated risks to improve quality.
  1. Develops specific quality standards/goals to be met within a specified timeframe.
  1. Communicates quality standards that are easily by employees.
Please feel free to provide any comments to help explain your answers?

Innovation

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  1. Ensures employees possess the necessary technical competencies to engage in innovation.
  1. Generates alternative solutions to problems and challenges.
  1. Helps to identify and create value from innovation.
  1. Takes risks that often yield rewards.
  1. Looks for ways that the company can make profit that are different from how competitors operate.
Please feel free to provide any comments to help explain your answers?

Goals

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  1. Achieves goals.
  1. Achieves established goals.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Goal Setting
  1. Sets high expectations and goals; encourages others to support the organization.
Please feel free to provide any comments to help explain your answers?

Commitment To Result

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  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Encourages commitment in others to obtain results.
  1. Able to focus on a task even when working alone.
Please feel free to provide any comments to help explain your answers?

Technical

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  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Seeks information from others as needed.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares his/her technical expertise; sought out as resource by others
Please feel free to provide any comments to help explain your answers?

Responsible

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  1. Acts as a resource without removing individual responsibility.
  1. Sets high personal standards of performance.
  1. Is a person you can trust.
  1. Holds herself / himself accountable to goals / objectives
  1. Responsible for setting the vision of the department.
Please feel free to provide any comments to help explain your answers?

Coaching

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  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Provides clear, motivating, and constructive feedback.
  1. Helps employees to maintain high personal standards.
  1. Addresses employee behavior problems effectively.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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  1. Ensures that all team members feel respected and heard.
  1. Promotes employee engagement to reduce tensions and negativity, creating an environment where conflicts are easily managed.
  1. Works with others as needed to facilitate resolution of conflicts.
  1. Identifies the root cause of the problems.
  1. Avoids conflicts over minor issues.
Please feel free to provide any comments to help explain your answers?

Global Perspective

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  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Cooperates with others on a global scale.
  1. Understands and appreciates the perspectives offered by others with different cultural backgrounds.
  1. Works well with others from different cultural backgrounds.
  1. Able to work with others from different cultures and countries.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.