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
Is open and approachable
Builds a strong rapport with co-workers.
Is a role model for others
Expresses appreciation of other's work.
Successfully resolves conflicts and grievances to a win-win solution.
Passion To Learn	Agree	Unsure	Disagree	N/A
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Holds self and associates accountable for goal achievement.
Enjoys learning new skills and techniques.
Is open minded and curious about learning new skills.
Is open to feedback from others.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Actively listens to other employees' stories about their culture.
Is aware of differences in how individuals from other cultures greet one another.
Engages with individuals that have different cultural backgrounds.
Recognizes individual and cultural differences.
Willing to work with employees who have different cultural backgrounds.
Quality	Agree	Unsure	Disagree	N/A
Reflects on what is working and what could be improved.
Encourages employees to produce the best quality products.
Encourages others to achieve high quality standards.
Corrects issues in a timely manner.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Innovation	Agree	Unsure	Disagree	N/A
Fosters a creative and innovative work environment.
Creates improved methods or solutions for meeting goals and objectives.
Searches for opportunities and innovative ways to improve the organization.
Analyzes current procedures and identifies opportunities for improvement.
Develops new products and services.
Achievement	Agree	Unsure	Disagree	N/A
Holds others to high standards of achievement.
Helps others to improve or meet standards of performance.
Strives to meet goals and objectives.
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Works at a quick pace to complete a high volume of work.
Managing Risk	Agree	Unsure	Disagree	N/A
Performs regular risk analyses to minimize adverse outcomes.
Is aware of the financial implications of certain risks.
Committed to implementing rules and procedures to minimize risk.
Aware of appropriate actions to minimize risks.
Tracks and monitors incidents that may increase the risk of adverse consequences.
Responsible	Agree	Unsure	Disagree	N/A
Responsible for setting the vision of the department.
Holds herself / himself accountable to goals / objectives
Acts as a resource without removing individual responsibility.
Is a person you can trust.
Completes assigned work tasks.
Coaching	Agree	Unsure	Disagree	N/A
Conducts regular performance appraisals and feedback.
Addresses employee behavior problems effectively.
Helps employees to understand responsibilities, authority, and expectations.
Provides clear, motivating, and constructive feedback.
Develops the skills and capabilities of others.
Others	Agree	Unsure	Disagree	N/A
Consistently demonstrates ability and willingness to trust others.
Respects the opinions of other employees.
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Works effectively with people from other departments.
Global Perspective	Agree	Unsure	Disagree	N/A
Volunteers for experiences and assignments abroad.
Creates an environment where individual differences are valued and supported.
Attends training seminars and conferences to increase skills in working with others globally.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Can effectively deliver presentations to international clients.

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

    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 [Participant Name Here]'s assessment.