Interpersonal Skills - 360 Degree Feedback Survey Sample #8

Instructions

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Interpersonal Skills	Agree	Unsure	Disagree	N/A
Adapts management style to meet the needs of the individual or situation.
Is a role model for others
Demonstrates willingness to work with others.
Provides constructive feedback in a way that fosters acceptance and development.
Effectively manages conflicts by dealing with them directly and immediately
Passion To Learn	Agree	Unsure	Disagree	N/A
Holds self and associates accountable for goal achievement.
Critiques own performance and learns from experience as a source of continuous improvement.
Persists until goals are achieved and commitments are met.
Actively seeks to learn by asking questions and listening to all store associates.
Demonstrates through personal behavior the commitment to high standards of performance.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Fosters a diverse workforce free from discrimination and harassment.
Shows respect in daily interactions
Respects others regardless of age, race, gender, nationality, or disability.
Seeks out different viewpoints and benefits from different perspectives.
Recognizes and values individual and cultural differences.
Quality	Agree	Unsure	Disagree	N/A
Corrects issues in a timely manner.
Encourages employees to produce the best quality products.
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Encourages others to produce the highest quality work products.
Innovation	Agree	Unsure	Disagree	N/A
Offers constructive improvements to existing systems.
Suggests new ideas at meetings.
Builds upon the ideas and solutions of others.
Challenges current procedures to develop other alternatives.
Analyzes current procedures and identifies opportunities for improvement.
Achievement	Agree	Unsure	Disagree	N/A
Completes work to given time frame and to budget
Demonstrates a well-organized and timely approach to achieve desired results
Completes work to a high technical standard
Accepts setbacks and challenges as improvement opportunities
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Managing Risk	Agree	Unsure	Disagree	N/A
Effectively responds to critical situations to reduce potential for losses.
Able to adapt quickly to changing situations.
Seeks to maintain the long-term viability of the Company.
Maintains open communication with other departments.
Works within constraints of the organization.
Responsible	Agree	Unsure	Disagree	N/A
Behavior is ethical and honest.
Holds herself / himself accountable to goals / objectives
Sets a good example
...takes personal responsibility for results.
Sets a good example.
Coaching	Agree	Unsure	Disagree	N/A
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Provides clear, motivating, and constructive feedback.
Others	Agree	Unsure	Disagree	N/A
...treats others with respect and dignity.
Works effectively with people from other departments.
Forms working relationships with employees from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Respects the opinions of other employees.
Global Perspective	Agree	Unsure	Disagree	N/A
Aligns personal vision with global strategies.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Can effectively deliver presentations to international clients.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Applies knowledge of overseas markets.

56. Overall, please rate the effectiveness of .
    

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for 's assessment.