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
Demonstrates compassion and understanding of others.
Is a committed and reliable partner.
Responds quickly to inquiries from potential customers.
Keeps commitments made with coworkers.
Communicates initiatives in a clear and actionable manner to employees.
Passion To Learn	Agree	Unsure	Disagree	N/A
Demonstrates a willingness to participate in continuing education courses.
Is open minded and curious about learning new skills.
Is committed to enhancing their own knowledge and skills.
Enhances value to the company through additional training and development.
Is open to feedback from others.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Seeks out different viewpoints and benefits from different perspectives.
Respects others regardless of age, race, gender, nationality, or disability.
Is aware of cultural differences in business etiquette.
Values the diverse perspectives from others.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Quality	Agree	Unsure	Disagree	N/A
Investigates critical incidents that impact quality.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Able to create quality initiatives to be implemented organization-wide.
Develops processes to enhance quality standards.
Verifies the operators have the necessary equipment and supplies to ensure high quality.
Innovation	Agree	Unsure	Disagree	N/A
Looks for new ways of doing things.
Takes risks to reach beyond boundaries.
Implements best practice methods within the Company.
Develops new products and services.
Develops effective solutions for viewing problems from a different point of view.
Achievement	Agree	Unsure	Disagree	N/A
Takes reasonable risks to achieve desired results.
Holds others to high standards of achievement.
Is flexible in adjusting priorities to meet the demands of changing situations.
Reduced department expenses by 25 percent.
Takes calculated risks to achieve higher levels of performance.
Managing Risk	Agree	Unsure	Disagree	N/A
Turns risks into opportunities for advancement.
Presents regular/monthly reports to the audit committee.
Increases business resilience.
Designs risk response activities that are proportionate to the level of risk.
Fosters an awareness and a shared responsibility for managing risk at all levels of the Company.
Responsible	Agree	Unsure	Disagree	N/A
Is a person you can trust.
Sets a good example
...takes personal responsibility for results.
Sets high personal standards of performance.
Behavior is ethical and honest.
Coaching	Agree	Unsure	Disagree	N/A
Develops the skills and capabilities of others.
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Conducts regular performance appraisals and feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Others	Agree	Unsure	Disagree	N/A
Works effectively with people from other departments.
Works across boundaries within the organization.
Supports the efforts of other employees in implementing solutions to problems.
Consistently demonstrates ability and willingness to trust others.
Includes others in the decision making processes.
Global Perspective	Agree	Unsure	Disagree	N/A
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Sets the example for team on importance of cultural awareness.
Is aware of the culture, behaviors, identities and beliefs of others.
Works well with others from different cultural backgrounds.
Analyzes global issues/problems that are having a large impact on the Company.

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.