Interpersonal Skills - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Interpersonal Skills

Definite Strength Meets Standards Needs Development N/A
  1. Uses knowledge and charisma rather than position, power, or coercion to influence others
  1. Is trusted by peers and co-workers; others are willing to confide in him/her
  1. Comes across as credible, knowledgeable and sincere
  1. Anticipates the concerns of other employees.
  1. Demonstrates willingness to work with others.


Definite Strength Meets Standards Needs Development N/A
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Develops trust and confidence from others.
  1. Protects the integrity and confidentiality of information
  1. Does what was promised.
  1. Demonstrates sincerity in actions with others.


Definite Strength Meets Standards Needs Development N/A
  1. Invoices clients on a timely basis.
  1. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
  1. Starts the workday when scheduled.
  1. Conducts appointments at scheduled start time.

Establishing Focus/Direction

Definite Strength Meets Standards Needs Development N/A
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Maintains self-control when personally criticized.
  1. Aligns the department's goals with the goals of the organization.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Excellent at managing time.

Decision Making

Definite Strength Meets Standards Needs Development N/A
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  1. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
  1. Asks for additional information when making critical decisions.
  1. Is able to make decisions quickly.
  1. Does not lose sight of the big picture when making decisions

Juggling Multiple Responsibilities

Definite Strength Meets Standards Needs Development N/A
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Begins tasks as soon as possible.
  1. Keeps track of multiple assignments and deadlines.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
  1. Can multitask while performing all of their other responsibilities and activities.

Technology Use/Management

Definite Strength Meets Standards Needs Development N/A
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Uses technology in decision making and problem solving.
  1. Maximizes the use of new technology to deliver products and services.


Definite Strength Meets Standards Needs Development N/A
  1. Produces high quality work.
  1. Takes a lot of pride in their work.
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the analytical skills to do their job.
  1. Is planful and organized.


Definite Strength Meets Standards Needs Development N/A
  1. Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  1. Maintains compliance with federal, state, and local laws.
  1. Offers training to employees to ensure they comply with regulations.
  1. Explains regulations and procedures to others as required.
  1. Interacts with auditors and regulators on a professional basis.

Empowering Others

Definite Strength Meets Standards Needs Development N/A
  1. Gives responsibility for making important decisions to employees.
  1. Trusts employees to complete tasks assigned.
  1. Lets employees complete tasks according to their methods.
  1. Encourages employees to solve problems on their own.
  1. Lets employees make their own decisions.


Definite Strength Meets Standards Needs Development N/A
  1. Creates opportunities to learn with other team members
  1. Fosters teamwork rather than individual competition
  1. Act as an effective team player
  1. Coaches team members
  1. Communicates a clear message that teamwork and collaboration are expected.

Organizational Fluency

Definite Strength Meets Standards Needs Development N/A
  1. Effective in communicating with others within the organization.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Understands the current organizational culture.
  1. Gets things done through the department.
  1. Anticipates problems that may affect the department.

  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.