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)

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.

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. Adapts management style to meet the needs of the individual or situation.
  1. Is a role model for others
  1. Demonstrates willingness to work with others.
  1. Provides constructive feedback in a way that fosters acceptance and development.
  1. Effectively manages conflicts by dealing with them directly and immediately

Passion To Learn

Agree Unsure Disagree N/A
  1. Holds self and associates accountable for goal achievement.
  1. Critiques own performance and learns from experience as a source of continuous improvement.
  1. Persists until goals are achieved and commitments are met.
  1. Actively seeks to learn by asking questions and listening to all store associates.
  1. Demonstrates through personal behavior the commitment to high standards of performance.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Shows respect in daily interactions
  1. Respects others regardless of age, race, gender, nationality, or disability.
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Recognizes and values individual and cultural differences.


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


Agree Unsure Disagree N/A
  1. Offers constructive improvements to existing systems.
  1. Suggests new ideas at meetings.
  1. Builds upon the ideas and solutions of others.
  1. Challenges current procedures to develop other alternatives.
  1. Analyzes current procedures and identifies opportunities for improvement.


Agree Unsure Disagree N/A
  1. Completes work to given time frame and to budget
  1. Demonstrates a well-organized and timely approach to achieve desired results
  1. Completes work to a high technical standard
  1. Accepts setbacks and challenges as improvement opportunities
  1. Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.

Managing Risk

Agree Unsure Disagree N/A
  1. Effectively responds to critical situations to reduce potential for losses.
  1. Able to adapt quickly to changing situations.
  1. Seeks to maintain the long-term viability of the Company.
  1. Maintains open communication with other departments.
  1. Works within constraints of the organization.


Agree Unsure Disagree N/A
  1. Behavior is ethical and honest.
  1. Holds herself / himself accountable to goals / objectives
  1. Sets a good example
  1. ...takes personal responsibility for results.
  1. Sets a good example.


Agree Unsure Disagree N/A
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Develops the skills and capabilities of others.
  1. Helps employees to maintain high personal standards.
  1. Provides clear, motivating, and constructive feedback.


Agree Unsure Disagree N/A
  1. ...treats others with respect and dignity.
  1. Works effectively with people from other departments.
  1. Forms working relationships with employees from other departments.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Respects the opinions of other employees.

Global Perspective

Agree Unsure Disagree N/A
  1. Aligns personal vision with global strategies.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Can effectively deliver presentations to international clients.
  1. Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. Applies knowledge of overseas markets.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.