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
Applies appropriate communication techniques to the situation.
Is honest about making mistakes and willing to fix them.
Pays close attention to what is being communicated verbally and nonverbally.
Communicates initiatives in a clear and actionable manner to employees.
Is a highly respected individual in the company.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exhibits a sense of ownership of outcomes and results.
Is someone you can trust.
Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
Acknowledges errors and takes the steps necessary to rectify them.
Honors the commitments and promises made to customers/clients.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is proactive in developing solutions to problems.
Works at a quick pace.
Drives and mobilizes others progress toward goals.
Fixes small issues before they become critical incidents.
Conducts critical-incident review immediately after the event.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to new ideas and concepts.
Pursues professional development opportunities when they arise.
Pursues learning that will enhance job performance.
Shares best practices with others and learns from others.
Takes charge of their training and skills enhancement.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds meetings with supply-chain vendors regarding acquisition of resources.
Inspires others to accomplish goals and objectives.
Identifies critical requirements for each phase of the project.
Successfully negotiated contracts with suppliers.
Estimates the time needed for each phase of the project.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others on the team to suggest process improvements.
Does things without being told.
Takes on additional tasks without being asked or told to do so.
Immediately works to complete goals well before their deadline.
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
Sets a common goals for the team.
Pursues performance benchmarks despite obstacles and setbacks.
Sets challenging goals to be achieved.
Recognizes the problem that needs to be solved.
Determined to complete tasks regardless of obstacles that may occur.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently exceeds customer expectations.
Keeps the customer informed of all progress.
Promotes, implements, maintains and enhances relationships with customers.
Builds products that meet the unique needs of each customer.
Is pro-active in dealing with customers and addressing their needs.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops internal alliances with others in the department.
Proactively addresses potential conflicts by identifying and resolving problems swiftly.
Collaborates with other companies to inject capital in exchange for equity, fostering growth and expansion for the partner organization.
Develops important industry contacts to facilitate business goals.
Inspires employees to seek out new collaboration opportunities to broaden market reach.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes mutual compromise to achieve conflict resolution.
Possesses the necessary skills to manage conflict and relationships.
Works to reduce misunderstandings and poor communication.
Ensures fair treatment for both parties, giving each the chance to speak and share their viewpoints.
Creates an environment where team members work collaboratively rather than compete with one another.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Pursues strategic alliances with valued partners.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Identifies potential problems before they become critical incidents.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Creates a mission statement describing the purpose for the organization.

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: