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 well respected in the department.
Respects other members of the team/department.
Sees values in the diversity of individuals on the team.
Provides constructive feedback in a way that fosters acceptance and development.
Embraces the differences in individuals that comprise the team.
Passion To Learn	Agree	Unsure	Disagree	N/A
Embraces new technology and procedures.
Creates an environment that supports personal development and exploration.
Will participate in training classes even if offered outside of normal working hours.
Enjoys learning new skills and techniques.
Is open minded and curious about learning new skills.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Aware of their own cultural views.
Understands how implicit biases can affect decisions, communication and productivity.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Interacts effectively with people from different cultural backgrounds.
May advocate for others with different cultural backgrounds.
Quality	Agree	Unsure	Disagree	N/A
Encourages employees to produce the best quality products.
Holds employees accountable for their quality of work.
Reflects on what is working and what could be improved.
Always strives to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Innovation	Agree	Unsure	Disagree	N/A
Encourages open communication to ensure that all proposals are considered.
Develops new products and services.
Finds creative ways to get things done with limited resources.
Implements best practices within the department.
Creates improved methods or solutions for meeting goals and objectives.
Achievement	Agree	Unsure	Disagree	N/A
Created impactful reports for the re-organization committee.
Strives to meet goals and objectives.
Completed training on the new equipment.
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Reduced department expenses by 25 percent.
Managing Risk	Agree	Unsure	Disagree	N/A
Committed to implementing rules and procedures to minimize risk.
Develops policies to address risk situations in the workplace.
Able to adapt quickly to changing situations.
Implements changes to reduce the chances of critical incidents in the future.
Tracks risks in a project.
Responsible	Agree	Unsure	Disagree	N/A
Sets a good example.
Is a person you can trust.
...takes personal responsibility for results.
Responsible for setting the vision of the department.
Sets high personal standards of performance.
Coaching	Agree	Unsure	Disagree	N/A
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Others	Agree	Unsure	Disagree	N/A
Works across boundaries within the organization.
Able to see issues from others' perspectives.
...treats others with respect and dignity.
Treats others with respect and dignity.
Respects the opinions of other employees.
Global Perspective	Agree	Unsure	Disagree	N/A
Creates an environment where individual differences are valued and supported.
Respects individual differences.
Is able to work with individuals having different backgrounds and cultures.
Works well with others from different cultural backgrounds.
Cooperates with others on a global scale.

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.