Interpersonal Skills - 360 Degree Feedback Survey Sample #12

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

• Demonstrates a high degree of ethics and integrity in the workplace.
• Responds quickly to inquiries from potential customers.
• Gives good advice and suggestions to coworkers.
• Demonstrates willingness to work with others.
• Pays close attention to what is being communicated verbally and nonverbally.

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

Comments:

Attitude

• Is gracious and professional in their interactions with others.
• Contributes to a positive and fun work environment.
• Contributes to a positive work environment.
• Treats all people fairly and with respect.
• Builds open and trusting relationships.

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

Comments:

Decision Making

• Gathers information before making a decision.
• Weighs the pros and cons of decisions.
• Understands what factors are important for deciding if a decision is "worth it"?
• Comes across as confident, decisive, and resilient
• Identifies parameters impacting the decision.

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

Comments:

Achievement

• Reduced department expenses by 25 percent.
• Allocates resources as needed to accomplish organizational goals.
• Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
• Successfully completed the orientation training program.
• Driven to complete goals despite obstacles that may arise.

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

Comments:

Partnering/Networking

• Successfully identifies complementary and compatible strategic partners with colleagues in the industry.
• Develops a sense of trust in subordinates so they can freely interact and share information with others.
• Promotes a culture of open collaboration, offering ample opportunities and incentives for knowledge sharing and mutual learning.
• Engages in continuous dialogue through regular meetings or virtual meetups.
• Collaborates with others to accomplish goals and objectives.

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.