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

• Successfully resolves conflicts and grievances to a win-win solution.
• Is a role model for others
• Effectively manages conflicts by dealing with them directly and immediately
• Uses knowledge and charisma rather than position, power, or coercion to influence others
• Strives for win/win solutions

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

Comments:

Attitude

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

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

Comments:

Decision Making

• Exercises good judgment by making sound and informed decisions.
• Does not lose sight of the big picture when making decisions
• Is able to make decisions quickly.
• Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
• Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently

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

Comments:

Achievement

• Completes work to a high technical standard
• Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
• Systematically works to improve the organization
• Follows-up and takes action when goals are not met to ensure better results in the future.
• Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.

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

Comments:

Partnering/Networking

• Develops a sense of trust in subordinates so they can freely interact and share information with others.
• Builds alliances between departments and teams.
• Creates value within the Company by building networks.
• Forges mutually beneficial relationships between individuals with diverse backgrounds.
• 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.