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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Thank you for your participation in the survey.

Management Team

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Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Respectful of the opinions and ideas of others.
Values the input from coworkers.
Offers constructive criticism to have a positive impact on performance.
Is honest about making mistakes and willing to fix them.
Effectively manages conflicts by dealing with them directly and immediately
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Confidently interacts with all tiers of the organization.
Conveys ideas confidently and succinctly.
Summarizes or paraphrases the current question to confirm understanding.
Listens to others' points of view with an open mind
Ready to offer feedback, even if it involves tough critiques.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Appropriately recognizes and rewards employees.
Successful in resolving personnel conflicts.
Provides feedback that is aligned with performance expectations.
Offers constructive feedback to facilitate performance improvement.
Treats all staff equitably.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is visible and approachable.
Asks others for their ideas and opinions.
Accepts the views of others.
Looks to others for input.
Actively seeks feedback from others.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Synthesizes data from multiple sources to draw logical conclusions.
Measures and assesses the potential loss in value of a portfolio under normal market conditions.
Clearly identifies the issue to be resolved.
Analyzes and consolidates data from several sources to develop logical insights.
Ensures financial transactions are recorded accurately and completely.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Acts quickly when a small problem arises to keep it from becoming a major issue.
Takes corrective action to address performance deficiencies/issues.
Looks to start work on new projects without waiting for direction from the manager.
Initiates projects that have an impact on the department.
Completes tasks without having to be told to do so.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Behaves in a way that is consistent with business values & code of conduct
Creates a workplace culture that reflects the organizational vision.
Concentrates employees' tasks on essential parts of the vision.
Models a strategic vision based on insights gained from in depth investigations into the performance of the company.
Provides the vision needed to help the organization remain competitive and adaptable in a dynamic market.

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.