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
Strives for win/win solutions
Applies appropriate communication techniques to the situation.
Creates an atmosphere that supports the open expression of ideas
Builds a strong rapport with co-workers.
Adapts management style to meet the needs of the individual or situation.
Passion To Learn	Agree	Unsure	Disagree	N/A
Is committed to enhancing their own knowledge and skills.
Holds self and associates accountable for goal achievement.
Stays up-to-date on emerging technologies.
Constantly enhances product knowledge through experimentation and play.
Creates an environment that supports personal development and exploration.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Fosters a diverse workforce free from discrimination and harassment.
Respects others regardless of age, race, gender, nationality, or disability.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Recognizes and values individual and cultural differences.
Seeks out different viewpoints and benefits from different perspectives.
Quality	Agree	Unsure	Disagree	N/A
Encourages others to produce the highest quality work products.
Always strives to produce the highest quality work products.
Corrects issues in a timely manner.
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Innovation	Agree	Unsure	Disagree	N/A
Challenges current procedures to develop other alternatives.
Creates a safe environment for idea-sharing.
Builds upon the ideas and solutions of others.
Takes risks to advance important ideas.
Implements best practices within the department.
Achievement	Agree	Unsure	Disagree	N/A
Sets challenging goals for the department.
Takes reasonable risks to achieve desired results.
Accepts setbacks and challenges as improvement opportunities
Works at a quick pace to complete a high volume of work.
Strives to meet goals and objectives.
Managing Risk	Agree	Unsure	Disagree	N/A
Develops appropriate strategies to minimize risks.
Has the knowledge and skills to accurately identify risks in the workplace.
Creates a risk profile for projects and teams.
Seeks to increase safety in the workplace.
Bases decisions on patterns found in fluid/changing information.
Responsible	Agree	Unsure	Disagree	N/A
Sets a good example
Sets high personal standards of performance.
...takes personal responsibility for results.
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
Coaching	Agree	Unsure	Disagree	N/A
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to understand responsibilities, authority, and expectations.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to maintain high personal standards.
Addresses employee behavior problems effectively.
Others	Agree	Unsure	Disagree	N/A
Able to see issues from others' perspectives.
Helpful
...treats others with respect and dignity.
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Global Perspective	Agree	Unsure	Disagree	N/A
Analyzes global issues/problems that are having a large impact on the Company.
Considers customers point of view when making decisions.
Applies knowledge of overseas markets.
Engages in problem solving with individuals outside of the country.
Demonstrates working knowledge of global transactions.

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.