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 open and approachable
Assists those in the department who need help in meeting performance metrics.
Assists employees that need help.
Recognizes when others do a good job.
Appreciates the extra efforts made by coworkers.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds self and others accountable for meeting the deadline.
Takes ownership of mistakes and learns from them.
Accepts accountability for their work.
Expects employees to accept the consequences of their actions.
Accepts personal responsibility for their actions.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fixes problems when they occur.
Takes preemptive actions avoid obstacles or delays.
Establishes the tasks and direction for the team.
Decides to act rather than remain passive.
Leverages skills and resources to exceed expectations on projects.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets relevant learning objectives and goals.
Pursues self-improvement through continual learning.
Is open to new ideas and concepts.
Grasps new ideas, concepts, technical, or business knowledge.
Builds on their strengths while addressing their weaknesses.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Responds quickly and appropriately to unforeseen problems.
Effective at using video conferencing software to manage remote teams.
Communicates the results of the project, at the conclusion, to all stakeholders.
Fosters an environment that promotes collaboration among team members.
Ensures resources are utilized at the appropriate levels for each phase of the project.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates what needs to be done and makes necessary preparations.
Acts independently to solve pressing needs.
Creates solutions to problems as soon as an incident occurs.
Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
Takes on additional tasks without being asked or told to do so.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivated by a strong desire to exceed performance standards.
Works toward achievement of goals even when confronted with obstacles.
Removes bureaucratic barriers to streamline processes.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Stays focused on solving problems and getting work done.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies the core needs of the customer.
Prioritizes customer issues to tackle the most pressing needs first.
Persistent in solving customer issues.
Ensures customers' expectations are met or exceeded.
Makes sure customer needs are understood by the team members.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports communication and collaboration with other leaders in the industry.
Nurtures a collaborative and inclusive environment that encourages knowledge sharing and continuous learning.
Implements effective oversight of network activities.
Exchanges innovative ideas with a network of colleagues.
Willingly participates on committees and project teams.
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.
Identifies and takes steps to prevent potential confrontations.
Helps to maintain dignity of all persons involved.
Addresses concerns about the availability of limited resources.
Encourages both sides to make compromises to resolve the conflict.
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.
Maintains knowledge of current trends in the industry.
Creates a vision for the organization based on insights gathered from other companies in the industry.
Creates strategies that significantly benefit the Company.
Creates values statement to ensure all employees are working under the same guiding principles.

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: