Interpersonal Skills - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others. A report will be shared with you at the conclusion of this project.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

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Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You demonstrate good communication with colleagues and customers.
You a good listener who is attentive to others.
You are a role model for others demonstrating the importance of interpersonal skills.
I offer praise to colleagues who have successfully completed major projects.
I promote acceptance of diverse viewpoints from team members.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are committed to enhancing your own knowledge and skills.
You enjoy learning new skills and techniques.
You enhance your value to the company through additional training and development.
You constantly enhance product knowledge through experimentation and play.
You will participate in training classes even if offered outside of normal working hours.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You take time to polish presentations, communications, or reports, ensuring they reflect professionalism and clarity.
I see employee development as a journey and express confidence in their continue growth.
I highlight progress and effort, even if outcomes are still emerging.
You express belief in the team's ability to overcome obstacles and deliver results.
I share credit broadly during celebrations or presentations, highlighting others' contributions.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I avoid delays by working quickly.
You are excellent at keeping track of time.
You schedule deep-focus time for complex problem-solving and strategic planning.
You continue working on the most important tasks until they are completed.
You effectively use subordinates to help get more work done by the department.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I lead with structure, ensuring good execution of initiatives and alignment with organizational objectives.
You execute tasks with precision and speed.
I push boundaries with ambitious goals that foster growth and innovation.
I strive for operational excellence by refining workflows and optimizing procedures.
You take reasonable risks to achieve desired results.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
You are naturally sought out by people outside your particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
You willingly share information and expertise; sought out as resource by others
You are knowledgeable of procedures or systems necessary for the job.
You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I accept risks as needed.
You seek to maintain the long-term viability of the Company through effective risk management.
I take steps to contain the costs of responding to such events.
You implement changes to reduce the chances of critical incidents in the future.
You prioritize the risks to determine the most pressing needs.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You deliver on promises made.
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
You build and maintain the trust of others.
You are trustworthy; is someone that can be trusted.
You are a person others can count on.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You influence others through rational argument and persuasion.
I use the motivations of each party to identify mutually advantageous solutions.
You actively listen to conversations to be able to recall important details later.
You understand the motivations of the other party.
You maintain good interpersonal relationships with representatives from the other party.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You avoid complacency and strives to be ahead of changes in the business environment.
I inspire employees to adopt the strategic plan.
You identify bottlenecks in the production process and develops strategies to correct these issues.
I implement and execute the company's strategy for advancing production capabilities.
You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I encourage others to follow the plan.
You set the appropriate sequence of tasks to efficiently achieve the goal.
I ensure staff have the supplies and resources necessary to enact the plan.
I anticipate challenges and have plans to overcome them.
I can accurately estimate the amount of materials/supplies needed for the project.

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

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

    
    
57. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
58. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
59. Additional comments, if any for [Participant Name Here]'s assessment.