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

Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I am well respected in the department.
I am willing to overlook personal differences and focus on completing the task at hand.
I am transparent and honest in communications, intentions, and actions.
I give credit where credit is due.
I am a committed and reliable partner.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You take advantage of training opportunities when they arise.
You create an environment that supports personal development and exploration.
You embrace new technology and procedures.
You exhibit willingness to upgrade skills through additional training and education.
You are committed to enhancing your own knowledge and skills.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You treat all people fairly and with respect.
You show by your actions that you trust in the positive intentions of others.
You contribute to a positive work environment.
You contribute to a positive and fun work environment.
You work to eliminate unnecessary work or barriers that get in others' way.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I prioritize critical tasks for the beginning of the shift.
I allocate time to the highest priority items.
I allow for time buffers between tasks so that the schedule does not become delayed due to unforeseen circumstances.
I prefer to utilize automated workflows.
You understand the importance of being on time.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You inspire others to work with a sense of urgency.
You are flexible in adjusting priorities to meet the demands of changing situations.
You are determined to complete tasks regardless of obstacles that may occur.
You establish Specific Measurable Achievable Realistic and Timed (SMART) goals.
You allocate resources as needed to accomplish organizational goals.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You willingly share your technical expertise; sought out as resource by others
You know how to produce high quality products/work.
You are knowledgeable of procedures or systems necessary for the job.
You willingly share information and expertise; sought out as resource by others
You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You know how to obtain desired results with minimal losses.
I evaluate the probability of a risk event occurrence.
I quantify current business practices to make better informed decisions.
I turn risks into opportunities for advancement.
I use actionable data and analytics to improve risk tolerance.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You build and maintain the trust of others.
You work in a way that makes others want to work with you.
You demonstrate congruence between statements and actions.
You take ownership, deliver on commitments
You demonstrate a sense of responsibility and commitment to public trust.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You clearly articulate points and actively listen to the others to ensure that both sides understand each other's needs and concerns.
I understand the other person's needs, concerns, and motivations.
I always have a "game plan" prior to entering into negotiations.
You persuade the other party of the benefits of our proposals.
You clearly explain the issues and interests at the start of negotiations.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I make sure that all departments/teams are contributing toward the success of the strategy.
You avoid complacency and strives to be ahead of changes in the business environment.
You make quick and creative decisions to adjust the strategy to meet the demands of changing situations.
I implement and execute the company's strategy for advancing production capabilities.
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I know how to create a timeline to specify when each phase of the project should be concluded.
I develop plans to help manage expectations and project demands.
You accomplish major tasks by breaking them into manageable pieces.
You are able to balance the needs of multiple stakeholders in developing the plan for the division.
You assess the potential impact of changes to the strategic plan.

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.