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
Is willing to lend a hand to those in the department who need help.
Assists employees that need help.
Is someone you can trust.
Applies appropriate communication techniques to the situation.
Gives credit where credit is due.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes responsibility for results.
Defines roles, rights, and responsibilities of employees.
Exhibits a sense of ownership of outcomes and results.
Takes personal responsibility for the quality of their work.
Accepts accountability for their work.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works quickly when faced with difficult problems.
Is not afraid to take action when necessary.
Acts quickly to create innovative products and services.
Initiates actions to get things done.
Rapidly adapts to changes in the situation.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to new ideas and concepts.
Pursues self-improvement through continual learning.
Takes the initiative to learn new skills.
Improves on their skill sets.
Builds on their strengths while addressing their weaknesses.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Decides what metrics should be used as milestones for the project.
Engages stakeholders and team members in open discussions.
Adds the necessary time buffers to avoid the project getting behind schedule.
Defines the project scope, goals, and resources.
Has the requisite industry knowledge to manage projects in this field.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Informs the manager of any important changes in the equipment operation.
Takes corrective action to address performance deficiencies/issues.
Seeks and utilizes opportunities for continuous learning and self-development.
Is an inspiration for others to perform above expectations.
Guides strategic initiatives to advance the department/organization.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies what needs to be accomplished.
Holds others accountable for producing high quality work.
Sets the objectives for the team.
Directs team in prioritizing daily work activities
Is a high achiever.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides a high level of service to customers.
...friendliness and courtesy
Focuses on providing excellent customer service.
Is committed to the customer's success.
Is aware of what the customer wants to receive.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exchanges innovative ideas with a network of colleagues.
Forms strategic alliances with firms that specialize in areas that are complementary or help the company.
Partners with peers to obtain influence within the Company.
Understands the potential implications of the partnership.
Shares resources, technology, facilities, or intellectual property to benefit both partners.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes openness and urges individuals to explore various options for resolving the conflict.
Shares competing viewpoints to expand viewpoints.
Reframes conflicts as opportunities to innovate and create new solutions to problems.
Removes misperceptions that may be contributing to the conflict.
Seeks to achieve mutually acceptable outcomes.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Observes employees at work to get better insight into the issues they are dealing with.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Adjusts strategic plans based on insights gathered from different points of view.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Works with others to develop insights into the resources and actions required to produce desired results.

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: