Interpersonal Skills - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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

• Demonstrates willingness to work with others.
• Able to work with individuals at all levels of the Company.
• Attends to both the content and the context of what was being said.
• Is honest about making mistakes and willing to fix them.
• Communicates well at all levels of the organization.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Attitude

• Visibly supports and encourages diversity in style and background.
• Shows by their actions that they trust in the positive intentions of others.
• Is gracious and professional in their interactions with others.
• Contributes to a positive work environment.
• Contributes to a positive and fun work environment.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Decision Making

• Remains focused on the immediate goal when making decisions.
• Is confident in the decisions they make.
• Makes creative decisions.
• Is open to listening to others who may have different ideas.
• Willing to change their strategy if new information arises.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Achievement

• Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
• Completes work promptly and efficiently.
• Met required benchmarks for the position.
• Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
• Helps others to improve or meet standards of performance.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Partnering/Networking

• Maintains communication channels with colleagues in the industry.
• Uses networks to create new business opportunities.
• Guarantees equitable and fair treatment for all network participants.
• Willingly participates on committees and project teams.
• Uses informal networks to share information.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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