Interpersonal Skills - 360 Degree Feedback Survey Sample #11

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.

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 build a strong rapport with co-workers.
  • You are trusted by peers and co-workers; others are willing to confide in him/her
  • You are open and approachable
  • You value the opinions of others.
  • You use knowledge and charisma rather than position, power, or coercion to influence others

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

Bias for Action

What does Bias for Action mean?
It means that ...
  • You identify ways to simplify work processes and reduce cycle times
  • You complete a large volume of work.
  • You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  • You motivate others to achieve or exceed goals
  • You complete work on time

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

Managing Performance

What does Managing Performance mean?
It means that ...
  • You address grievances sooner rather than later.
  • You plan and set work expectations.
  • You recognize and value good performance.
  • You set specific and measurable goals for others and follows through to completion.
  • You assess employee performance against defined standards.

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

Commitment To Result

What does Commitment To Result mean?
It means that ...
  • You are able to focus on a task even when working alone.
  • You encourage commitment in others to obtain results.
  • You maintain persistence and dedication to achieving results.
  • You take immediate action toward goals.
  • You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.

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

Fiscal Management

What does Fiscal Management mean?
It means that ...
  • You develop of the department's annual budget.
  • You keep excellent records for financial transparency.
  • You are effective in using company's resources.
  • You ensure others follow the correct rules and regulations on fiscal matters.
  • 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.

Areas for Development

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