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
Embraces the differences in individuals that comprise the team.
Values the input from coworkers.
Gives constructive feedback on performance reviews.
Strives to lead by example to demonstrate the value of interpersonal relationships.
Gives credit where credit is due.
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
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Inspires creativity in their team.
Develops solutions to challenging problems.
Is creative and inspirational.
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
Does not allow own emotions to interfere with the performance of others.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
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.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
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
Looks to others for input.
Considers other's opinion and suggestions.
Accepts the views of others.
Open to the suggestions of others.
Is visible and approachable.
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
Is gracious and professional in their interactions with others.
Contributes to a positive work environment.
Shows by their actions that they trust in the positive intentions of others.
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
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
Encourages commitment in others to obtain results.
Committed to the team.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Takes immediate action toward goals.
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
Compliments other people when they do good work
Makes people around them feel appreciated and valued.
Recognizes team members who offer a significant contribution to a project.
Finds opportunities to recognize others.
Is sincerely interested in the suggestions of co-workers
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.