Interpersonal Skills - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expresses appreciation of other's work.
Successfully resolves conflicts and grievances to a win-win solution.
Values the opinions of others.
Creates an atmosphere that supports the open expression of ideas
Builds a strong rapport with co-workers.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Tackles issues head on and finds solutions.
Defines roles, rights, and responsibilities of the team.
Is aware of problems or issues that may affect the organization.
Develops goals and establishes objective measures of success.
Can be counted on to do what they say they are going to do.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively makes decisions
Displays high energy and enthusiasm on consistent basis.
Drives and mobilizes others progress toward goals.
Does whatever it takes (within reason) to get the job done.
Motivates & supports others to gain skills
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks opportunities to grow in skills and knowledge.
Pursues professional development opportunities when they arise.
Grasps new ideas, concepts, technical, or business knowledge.
Improves on their skill sets.
Takes charge of their training and skills enhancement.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Organizes work and sets priorities as needed.
Regularly reviews project performance and goals.
Develops performance measures for various aspects of the project.
Defines project outcomes based on customer requirements.
Maintains costs and expenses within budget limits.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates draft reports for consideration.
Guides strategic initiatives to advance the department/organization.
Immediately informs the HR Department of any personnel complaints or issues.
Addresses small problems before they become big ones.
Completes tasks without having to be told to do so.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Directs team in prioritizing daily work activities
Provides clear expectations for employees.
Explains the "whys" behind organizational objectives
Encourages a high-energy, fun work environment and coaches others on how to do the same
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes sure their interests are aligned with the customer's interests.
Creates documents that meet the customer's specifications.
Focuses on providing excellent customer service.
Is competent in handling customer cases.
Anticipates problems that the customer may encounter.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports a partnering/networking culture.
Builds alliances between departments and teams.
Creates the conditions for partnerships to grow and develop.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assists team members by helping them see the other point of view.
Helps employees to think through alternative ways to resolve conflict situations.
Deals effectively with employee grievances.
Discusses conflict situations with supervisor.
Clearly expresses expectations to others.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Formulates policies and strategies for addressing the Company's important challenges.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Identifies potential problems before they become critical incidents.
Maintains knowledge of current trends in the industry.

56. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


58. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    


59. What changes do you see [Company] making in order to raise the standards?
    
    


60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


61. What do you like best about working for [Company]?
    
    


62. What do you like least about working for [Company]? How could it be improved?
    


93. Use the space below to enter any final comments you would like to be noted: