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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

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Seldom
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Competency
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Competency
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  1. Offers praise to colleagues who have successfully completed major projects.
  1. Strives for win/win solutions
  1. Is transparent and honest in communications, intentions, and actions.
  1. Creates diverse teams of individuals with different backgrounds, skills, and abilities.
  1. Applies appropriate communication techniques to the situation.
Please feel free to provide any comments to help explain your answers?

Adaptability

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  1. Adjusts plans to meet new situations.
  1. Learns new skills to become competitive and contribute to the bottom line.
  1. Changes direction of projects if needed to accommodate new criteria or constraints.
  1. Adapts processes to meet the needs of new challenges.
  1. Will stop what they are doing to help colleagues in need.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

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  1. Open to the suggestions from others.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Fosters a culture of open communication and continuous improvement.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand current job responsibilities.
Please feel free to provide any comments to help explain your answers?

Quality

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  1. Develops processes to enhance quality standards.
  1. Makes sure cleanliness standards are met to reduce the possibility of contamination.
  1. Engages and leads staff in implementation of new quality procedures.
  1. Leads others to adopt excellent quality standards and practices.
  1. Sets expectations for achieving high quality services and products.
Please feel free to provide any comments to help explain your answers?

Innovation

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  1. Determines how much risk the company is willing to take in implementing innovations to the products and services.
  1. Creates new ways of doing routine tasks.
  1. Has a strong commitment to innovation.
  1. Implements best practices within the department.
  1. Encourages employees to consider opportunities to innovate processes and products.
Please feel free to provide any comments to help explain your answers?

Goals

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  1. Sets goals relevant to the situation to help teams focus their efforts efficiently.
  1. Avoids unproductive actions that fail to advance the achievement of the goal.
  1. Performs a risk assessment to identify potential obstacles which may change the priority of certain goals.
  1. Makes sure that daily activities contribute meaningfully to the company's long-term goals.
  1. Effectively manages the pursuit of multiple goals at the same time by skillfully balancing priorities, resources, and time.
Please feel free to provide any comments to help explain your answers?

Commitment To Result

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  1. Takes immediate action toward goals.
  1. Coordinates all department activities into a cohesive team effort.
  1. Committed to the team.
  1. Able to focus on a task even when working alone.
  1. Maintains persistence and dedication to achieving results.
Please feel free to provide any comments to help explain your answers?

Technical

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  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Knows how to produce high quality products/work.
  1. Willingly shares information and expertise; sought out as resource by others
  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.
Please feel free to provide any comments to help explain your answers?

Responsible

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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. Acts as a resource without removing individual responsibility.
  1. Sets a good example
  1. ...takes personal responsibility for results.
Please feel free to provide any comments to help explain your answers?

Coaching

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  1. Creates plans for achieving results that are specific, measurable and have target dates.
  1. Creates an environment of trust by investing time with the employee and in building rapport before engaging in deeper coaching discussions.
  1. Encourages employees to shift their perspective by asking questions like, "What opportunities could arise from solving this issue?" or "What could you learn from tackling this challenge?"
  1. Encourages employees to achieve their full potential.
  1. Poses open-ended questions that promote exploration, self-reflection, and problem-solving.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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  1. Prefers to resolve conflicts through negotiation rather than coersion.
  1. Deals effectively with employee grievances.
  1. Monitors emotional cues and behavioral signals to assess underlying motivations or unspoken concerns.
  1. Removes misperceptions that may be contributing to the conflict.
  1. Identifies the root sources of conflict.
Please feel free to provide any comments to help explain your answers?

Global Perspective

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  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Facilitates open communication with individuals from other countries.
  1. Is able to work with individuals having different backgrounds and cultures.
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.