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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

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
Demonstrates positive behaviors for others to follow.
Demonstrates good communication with colleagues and customers.
Respectful of the opinions and ideas of others.
Strives to lead by example to demonstrate the value of interpersonal relationships.
Is a role model for others demonstrating the importance of interpersonal skills.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Delivers well-prepared, informed, poised and succinct presentations.
An effective listener who is responsive to information needs.
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Communicates effectively with all levels of the organization.
Gives clear and convincing presentations.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to take responsibility for mistakes.
Is able to manage emotions during difficult times.
Emphasizes constructive discipline strategies, prioritizing the development and feedback of employees over punitive measures.
Appropriately recognizes and rewards employees.
Motivates and inspires high performance by team members.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Shares past experiences with others as learning opportunities.
Considers other's opinion and suggestions.
Seeks feedback to enhance performance.
Is visible and approachable.
Open to the suggestions of others.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes issues and reduces them to their component parts.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies the root cause of a problem.
Implements data validation techniques and methods.
Asks the "right" questions to size up or evaluate situations.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds strong interpersonal relationships upon first meeting.
Independently seeks out new learning opportunities to improve their skills.
Takes corrective action to address performance deficiencies/issues.
Initiates draft reports for consideration.
Immediately informs the supervisor of any critical incidents.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a positive vision of the future for the Company.
Persuades others to follow the Company's vision.
Demonstrates consistency between words and actions
Works to support the strategy of [Company]
Expresses the Company vision in a way that is easily understood and adopted by employees.

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.