Interpersonal Skills - 360 Degree Feedback Survey Sample #10

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.

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

  • Able to work with individuals at all levels of the Company.
  • Provides constructive feedback in a way that fosters acceptance and development.
  • Demonstrates willingness to work with others.
  • Anticipates the concerns of other employees.
  • Comes across as credible, knowledgeable and sincere
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Developing Others

  • Tries to ensure employees are ready to move to the next level.
  • Encourages employees through recognition of positive changes in behavior.
  • Provides constructive feedback to others.
  • Assesses employees' developmental needs.
  • Creates opportunities for professional development.
If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?

Strategic Insight

  • Communicates vision for the department and company.
  • Maintains knowledge of current trends in the industry.
  • Identifies root causes of problems.
  • Identifies potential problems before they become critical incidents.
  • Anticipates business cycles and trends and makes adjustments in a timely manner.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?


  • Effective in incorporating new ideas.
  • Works effectively during periods of change.
  • Open to the perspectives/viewpoints of others.
  • Acts decisively in frequently changing and uncertain environment.
  • Willing to try new ideas.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?


  • Encourages employees to produce the best quality products.
  • Reflects on what is working and what could be improved.
  • Encourages others to achieve high quality standards.
  • Analyze what occurred and re-adjusts accordingly when goals are not met.
  • Always strives to produce the highest quality work products.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

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