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 .

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Interpersonal Skills	Agree	Unsure	Disagree	N/A
Addresses critical customer issues in a timely manner.
Keeps commitments made with coworkers.
Attends to both the content and the context of what was being said.
Comes across as credible, knowledgeable and sincere
Is willing to lend a hand to those in the department who need help.
Passion To Learn	Agree	Unsure	Disagree	N/A
Will participate in training classes even if offered outside of normal working hours.
Exhibits willingness to upgrade skills through additional training and education.
Enhances value to the company through additional training and development.
Constantly enhances product knowledge through experimentation and play.
Is open minded and curious about learning new skills.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Seeks knowledge and information about other cultures.
Helps other employees to become more culturally sensitive.
Understands how implicit biases can affect decisions, communication and productivity.
Seeks out different viewpoints and benefits from different perspectives.
Hires individuals with different cultural backgrounds for the department.
Quality	Agree	Unsure	Disagree	N/A
Successfully implements quality controls within the department.
Assists quality control inspectors.
Develops processes to enhance quality standards.
Promotes an environment that fosters quality and safety.
Is a role model for quality practices and standards.
Innovation	Agree	Unsure	Disagree	N/A
Develops new products and services.
Establishes measurable innovation goals and regularly track progress to maintain focus and momentum.
Fine-tunes innovative strategies to maximize resource utilization and achieve desired outcomes.
Effective in bringing up new ideas.
Empowers employees to create innovative solutions to problems.
Achievement	Agree	Unsure	Disagree	N/A
Uses established goals and performance measures to keep track of performance.
Takes calculated risks to achieve difficult goals.
Strives to exceed standards of performance.
Completes work to a high technical standard
Sets performance metrics to measure achievement or attainment of goals.
Managing Risk	Agree	Unsure	Disagree	N/A
Minimizes the increase in costs due to global events or supply chain issues.
Seeks to increase safety in the workplace.
Determines the impact of specific risks on reputation.
Accepts risk as needed.
Effectively manages risk for the department.
Responsible	Agree	Unsure	Disagree	N/A
Sets high personal standards of performance.
Is a person you can trust.
Behavior is ethical and honest.
Holds herself / himself accountable to goals / objectives
Acts as a resource without removing individual responsibility.
Coaching	Agree	Unsure	Disagree	N/A
Meets regularly with employees to coach them on areas that will enhance their performance
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Helps employees to maintain high personal standards.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Others	Agree	Unsure	Disagree	N/A
Respects the opinions of other employees.
Works effectively with people from other departments.
Includes others in the decision making processes.
Able to see issues from others' perspectives.
Helpful
Global Perspective	Agree	Unsure	Disagree	N/A
Forms strong client relationships with international partners.
Sets the example for team on importance of cultural awareness.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Engages in problem solving with individuals outside of the country.

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.