Interpersonal Skills - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Interpersonal Skills:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

Sample Result Document:
Sample Results
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.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Interpersonal Skills

Agree Unsure Disagree N/A
  1. Strives for win/win solutions
  1. Applies appropriate communication techniques to the situation.
  1. Creates an atmosphere that supports the open expression of ideas
  1. Builds a strong rapport with co-workers.
  1. Adapts management style to meet the needs of the individual or situation.

Passion To Learn

Agree Unsure Disagree N/A
  1. Is committed to enhancing their own knowledge and skills.
  1. Holds self and associates accountable for goal achievement.
  1. Stays up-to-date on emerging technologies.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Creates an environment that supports personal development and exploration.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Respects others regardless of age, race, gender, nationality, or disability.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Recognizes and values individual and cultural differences.
  1. Seeks out different viewpoints and benefits from different perspectives.


Agree Unsure Disagree N/A
  1. Encourages others to produce the highest quality work products.
  1. Always strives to produce the highest quality work products.
  1. Corrects issues in a timely manner.
  1. Encourages others to achieve high quality standards.
  1. Holds employees accountable for their quality of work.


Agree Unsure Disagree N/A
  1. Challenges current procedures to develop other alternatives.
  1. Creates a safe environment for idea-sharing.
  1. Builds upon the ideas and solutions of others.
  1. Takes risks to advance important ideas.
  1. Implements best practices within the department.


Agree Unsure Disagree N/A
  1. Sets challenging goals for the department.
  1. Takes reasonable risks to achieve desired results.
  1. Accepts setbacks and challenges as improvement opportunities
  1. Works at a quick pace to complete a high volume of work.
  1. Strives to meet goals and objectives.

Managing Risk

Agree Unsure Disagree N/A
  1. Develops appropriate strategies to minimize risks.
  1. Has the knowledge and skills to accurately identify risks in the workplace.
  1. Creates a risk profile for projects and teams.
  1. Seeks to increase safety in the workplace.
  1. Bases decisions on patterns found in fluid/changing information.


Agree Unsure Disagree N/A
  1. Sets a good example
  1. Sets high personal standards of performance.
  1. ...takes personal responsibility for results.
  1. Is a person you can trust.
  1. Holds herself / himself accountable to goals / objectives


Agree Unsure Disagree N/A
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Helps employees to maintain high personal standards.
  1. Addresses employee behavior problems effectively.


Agree Unsure Disagree N/A
  1. Able to see issues from others' perspectives.
  1. Helpful
  1. ...treats others with respect and dignity.
  1. Treats others with respect and dignity.
  1. Supports the efforts of other employees in implementing solutions to problems.

Global Perspective

Agree Unsure Disagree N/A
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Considers customers point of view when making decisions.
  1. Applies knowledge of overseas markets.
  1. Engages in problem solving with individuals outside of the country.
  1. Demonstrates working knowledge of global transactions.

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

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.