Interpersonal Skills - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

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.
• Builds a strong rapport with co-workers.
• Values the opinions of others.
• Demonstrates willingness to work with others.
• Anticipates the concerns of other employees.

If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Developing Others

• Assesses employees' developmental needs.
• Provides constructive feedback to others.
• Recognizes and celebrates accomplishments of others.
• Assigns tasks and responsibilities to develop skills of others.
• Sets performance objectives for subordinates that encourages development opportunities.

If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?

Strategic Insight

• Analyzes unique issues or problems impacting the Company.
• Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
• Implements long-term solutions to problems.
• Anticipates business cycles and trends and makes adjustments in a timely manner.
• Communicates vision for the department and company.

If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?

Flexibility

• Identifies new opportunities to achieve goals
• Acts decisively in frequently changing and uncertain environment.
• Able to adapt to new situations.
• Willing to try new ideas.
• Is open to alternative ways to accomplish goals

If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?

Quality

• Reflects on what is working and what could be improved.
• Holds employees accountable for their quality of work.
• Encourages employees to produce the best quality products.
• Analyze what occurred and re-adjusts accordingly when goals are not met.
• Encourages others to achieve high quality standards.

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].

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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