Interpersonal Skills - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Interpersonal Skills

What does Interpersonal Skills mean?
It means that ...

• You value the opinions of others.
• You apply appropriate communication techniques to the situation.
• You express appreciation of other's work.
• You use tact, compassion, and sensitivity in interactions with others.
• You come across as credible, knowledgeable and sincere

To what extent does this person exhibit Interpersonal Skills?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Bias for Action

What does Bias for Action mean?
It means that ...

• You motivate others to achieve or exceed goals
• You convey a sense of urgency about addressing problems and opportunities
• You display high energy and enthusiasm on consistent basis.
• You complete work on time
• You coach others to foster an environment which can adapt quickly and willingly to rapid change.

To what extent does this person exhibit Bias for Action?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Managing Performance

What does Managing Performance mean?
It means that ...

• You obtain commitment from employees regarding completion of tasks.
• You recognize and value good performance.
• You measure performance against goals and objectives.
• You use timely and appropriate corrective/disciplinary actions.
• You examine the most effective ways for accomplishing goals.

To what extent does this person exhibit Managing Performance?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Commitment To Result

What does Commitment To Result mean?
It means that ...

• You create a sense of urgency among the store team members to complete activities, which drive sales.
• You are committed to the team.
• You coordinate all department activities into a cohesive team effort.
• You maintain persistence and dedication to achieving results.
• You are able to focus on a task even when working alone.

To what extent does this person exhibit Commitment To Result?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Fiscal Management

What does Fiscal Management mean?
It means that ...

• You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
• You monitor spending.
• You develop of the department's annual budget.
• You monitor expenses and verify the need for items purchased.
• You provide budgeting and accounting support to the Company.

To what extent does this person exhibit Fiscal Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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