Interpersonal Skills - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Interpersonal Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Demonstrates compassion and understanding of others.
Adapts management style to meet the needs of the individual or situation.
Effectively manages conflicts by dealing with them directly and immediately
Is a role model for others
Comes across as credible, knowledgeable and sincere
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Creativity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops solutions to challenging problems.
Adds value to the department/organization.
Inspires creativity in their team.
Creates a lot of new ideas.
Is creative.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Consciously controls own negative emotions in order to keep team morale up.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Analyzes interpersonal problems instead of reacting to them.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is easy to approach with ideas and opinions.
Asks others for their ideas and opinions.
Is visible and approachable.
Seeks feedback to enhance performance.
Looks to others for input.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Shows by their actions that they trust in the positive intentions of others.
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Is gracious and professional in their interactions with others.
Works to eliminate unnecessary work or barriers that get in others' way.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Commitment To Result	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Encourages commitment in others to obtain results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Able to focus on a task even when working alone.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Recognizes the abilities and skills of self and others
Readily shares credit and gives others opportunity for visibility.
Recognizes team members who offer a significant contribution to a project.
Compliments other people when they do good work
Lets employees know when they have done well
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.