Interpersonal Skills - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains open and regular communication with others.
Builds strong relationships with team members.
Honesty and integrity are core tenets of interpersonal relationships.
Is thoughtful and honest about the feedback they give others.
Respectful of the opinions and ideas of others.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recaps action steps from meetings to ensure clarity and execution.
Communicates clearly and get to the point without unnecessary details.
Communicates concepts and ideas to others.
Makes the complex simple.
Maintains a formal and respectful tone, avoiding use of slang or overly casual language.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Successful in resolving personnel conflicts.
Recognizes those who have exceeded expectations.
Determines which team members are to be promoted to the next higher level.
Coaches subordinates in how to make good decisions.
Conducts regular performance management sessions.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks opportunities for professional development.
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Contributing fully to the extent of their skills
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is visible and approachable.
Is easy to approach with ideas and opinions.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
Accepts the views of others.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses appropriate techniques to solve problems.
Balances risks and costs with the rewards and probabilities of success when decisions.
Analyzes issues and reduces them to their component parts.
Identifies problems and issues needing resolution.
Asks the "right" questions to size up or evaluate situations.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is an inspiration for others to perform above expectations.
Acts on own initiative to improve the department outcomes.
Takes on extra projects after required work is completed.
Builds strong interpersonal relationships upon first meeting.
Takes corrective action to address performance deficiencies/issues.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to formulate and implement a vision for the future of the department.
Clearly articulates a vision for his/her work and inspires others to support it
Communicates the vision effectively across the organization to motivate and guide employees.
Plans a roadmap for the department's growth and expansion.
Creates a positive vision of the future for the Company.

41. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.