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)
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.






Interpersonal Skills

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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  1. Uses knowledge and charisma rather than position, power, or coercion to influence others
  1. Willing to overlook personal differences and focus on completing the task at hand.
  1. Is thoughtful and honest about the feedback they give others.
  1. Is someone you can trust.
  1. Is open and approachable
Please feel free to provide any comments to help explain your answers?

Adaptability

Does Not
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Competency
Seldom
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Competency
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  1. Is open to changes in policies and procedures.
  1. Adjusts strategy when new information is presented.
  1. Develops insights and applies innovative solutions to projects and problems.
  1. Adjusts to the new vision and mission of the company.
  1. Able to respond to incidents without stopping the workflow.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
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  1. Open to the suggestions from others.
  1. Looks for ways to expand and learn new job skills.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  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.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
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Competency
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  1. Holds employees accountable for their quality of work.
  1. Verifies the correct materials were used in the installation.
  1. Addresses barriers to successfully implementing quality standards.
  1. Encourages others to achieve high quality standards.
  1. Encourages employees to produce the best quality products.
Please feel free to provide any comments to help explain your answers?

Innovation

Does Not
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Competency
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  1. Creates a safe environment for idea-sharing.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Suggests new ideas at meetings.
  1. Implements best practices within the department.
  1. Creates improved methods or solutions for meeting goals and objectives.
Please feel free to provide any comments to help explain your answers?

Goals

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

Commitment To Result

Does Not
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Competency
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  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Takes immediate action toward goals.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Encourages commitment in others to obtain results.
  1. Coordinates all department activities into a cohesive team effort.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
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  1. 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.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  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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Competency
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  1. Works in a way that makes others want to work with her/him.
  1. Sets high personal standards of performance.
  1. Completes assigned work tasks.
  1. Acts as a resource without removing individual responsibility.
  1. Sets a good example.
Please feel free to provide any comments to help explain your answers?

Coaching

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  1. Conducts regular performance appraisals and feedback.
  1. Addresses employee behavior problems effectively.
  1. Helps employees to maintain high personal standards.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Helps employees to understand responsibilities, authority, and expectations.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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  1. Promotes openness and urges individuals to explore various options for resolving the conflict.
  1. Prepares team members to accept differing view points.
  1. Attentively hears each person as they share their distinct viewpoints on the matter.
  1. Persuades others to accept ideas that may be difficult and uncomfortable.
  1. Investigates opportunities to achieve mutually beneficial solutions to conflicts.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
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Competency
Seldom
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  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Volunteers for experiences and assignments abroad.
  1. Understands and appreciates the perspectives offered by others with different cultural backgrounds.
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Considers customers point of view when making decisions.
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.