Interpersonal Skills - 360 Degree Feedback Survey Sample #5

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
Adapts management style to meet the needs of the individual or situation.
Anticipates the concerns of other employees.
Demonstrates willingness to work with others.
Provides constructive feedback in a way that fosters acceptance and development.
Uses tact, compassion, and sensitivity in interactions with others.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communications with department leadership
Communicates effectively with colleagues and customers
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Is an effective communicator
Addresses issues of key importance to stakeholders.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of the unique strengths of each employee.
Resolves personnel problems quickly and effectively.
Treats all staff equitably.
Delegates effectively.
Appropriately recognizes and rewards employees.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for continuous learning.
Encourages employees to take courses relevant to their job.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks to others for input.
Is visible and approachable.
Seeks feedback to enhance performance.
Considers other's opinion and suggestions.
Shares past experiences with others as learning opportunities.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses appropriate techniques to solve problems.
Analyzes data and information from several sources and arrives at logical conclusions.
Actively seeks constructive feedback from others.
Can effectively interpret and analyze data.
Identifies the root cause of a problem.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Prepares for unexpected contingencies.
Takes the initiative to change the direction or course of events.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Immediately works to complete goals well before their deadline.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates consistency between words and actions
Develops action plans to align his/her work with the goals of the organization
Communicates a vision of where the Company needs to be in the future.
Persuades others to follow the Company's vision.
Works to support the strategy of [Company]

41. Overall, please rate the effectiveness of .
    

    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 's assessment.