Interpersonal Skills - 360 Degree Feedback Survey Sample #3

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.

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 a great company.

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

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Interpersonal Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Creates an atmosphere that supports the open expression of ideas
Is a role model for others
Is open and approachable
Uses tact, compassion, and sensitivity in interactions with others.
Successfully resolves conflicts and grievances to a win-win solution.
Please feel free to provide any comments to help explain your answers?
Adaptability	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works effectively in dynamic and changing work environments.
Is flexible and open minded in dealing with others.
Recognizes and implements changes to enhance efficiency and effectiveness.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Flexible and open to new ideas and encourages others to value change.
Please feel free to provide any comments to help explain your answers?
Continual Improvement	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Looks for ways to improve work processes and procedures.
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Please feel free to provide any comments to help explain your answers?
Quality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Encourages others to produce the highest quality work products.
Encourages employees to produce the best quality products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Please feel free to provide any comments to help explain your answers?
Innovation	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Implements best practices within the department.
Offers constructive improvements to existing systems.
Challenges current procedures to develop other alternatives.
Suggests new ideas at meetings.
Analyzes current procedures and identifies opportunities for improvement.
Please feel free to provide any comments to help explain your answers?
Goals	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Achieves goals.
Achieves established goals.
Establishes and documents goals and objectives.
Makes sure that team members have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Please feel free to provide any comments to help explain your answers?
Commitment To Result	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Takes immediate action toward goals.
Able to focus on a task even when working alone.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Committed to the team.
Please feel free to provide any comments to help explain your answers?
Technical	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Seeks information from others as needed.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Willingly shares his/her technical expertise; sought out as resource by others
Willingly shares information and expertise; sought out as resource by others
Is knowledgeable of procedures or systems necessary for the job.
Please feel free to provide any comments to help explain your answers?
Responsible	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Sets a good example.
Is a person you can trust.
...takes personal responsibility for results.
Sets high personal standards of performance.
Acts as a resource without removing individual responsibility.
Please feel free to provide any comments to help explain your answers?
Coaching	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to understand responsibilities, authority, and expectations.
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Meets regularly with employees to coach them on areas that will enhance their performance
Please feel free to provide any comments to help explain your answers?
Conflict Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Assists team members by helping them see the other point of view.
Clearly expresses expectations to others.
Helps employees to think through alternative ways to resolve conflict situations.
Identifies and takes steps to prevent potential confrontations.
Tries to understand others' point of view before making judgments
Please feel free to provide any comments to help explain your answers?
Global Perspective	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Understands how cultures differ and how these differences impact work behavior.
Applies knowledge of overseas markets.
Can effectively deliver presentations to international clients.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Aligns personal vision with global strategies.
Please feel free to provide any comments to help explain your answers?

61. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for 's assessment.