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
Creates an atmosphere that supports the open expression of ideas
Comes across as credible, knowledgeable and sincere
Effectively manages conflicts by dealing with them directly and immediately
Is a role model for others
Adapts management style to meet the needs of the individual or situation.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accepts accountability for their actions and results.
Takes responsibility for results.
Is aware of problems or issues that may affect the organization.
Defines roles, rights, and responsibilities of the team.
Holds team accountable to meeting goals.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates & supports others to gain skills
Displays high energy and enthusiasm on consistent basis.
Does whatever it takes (within reason) to get the job done.
Gets the job done.
Effectively makes decisions
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks opportunities to grow in skills and knowledge.
Pursues self-improvement through continual learning.
Participates in regular training offered.
Pursues professional development opportunities when they arise.
Takes charge of their training and skills enhancement.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines project outcomes based on customer requirements.
Develops action items, workplans, timelines, and criteria for projects.
Develops performance measures for various aspects of the project.
Inspires others to accomplish goals and objectives.
Regularly reviews project performance and goals.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes action without being asked.
Goes above and beyond the stated goals.
Seeks and utilizes opportunities for continuous learning and self-development.
Takes the initiative to change the direction or course of events.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not become distracted by non-issues or interruptions.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Directs team in prioritizing daily work activities
Works toward achievement of goals even when confronted with obstacles.
Stays focused on meeting the needs of customers.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently models positive customer service attitudes.
Maintains positive customer relationships.
Develops strong customer relationships.
Considers customers point of view when making decisions.
Does not hesitate to address customer concerns or complaints.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Seeks to reduce institutional roadblocks to information sharing.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Collaborates with others to accomplish goals and objectives.
Creates value within the Company by building networks.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly expresses expectations to others.
Identifies and takes steps to prevent potential confrontations.
Helps employees to think through alternative ways to resolve conflict situations.
Tries to understand others' point of view before making judgments
Deals effectively with employee grievances.
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.
Analyzes records and reports to obtain insight into potential issues and trends.
Communicates vision for the department and company.
Maintains knowledge of current trends in the industry.
Formulates strategies and action plans to ensure successful completion of goals and objectives.

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: