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.

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Interpersonal Skills

• Demonstrates positive behaviors for others to follow.
• Expresses appreciation of other's work.
• Demonstrates a high degree of ethics and integrity in the workplace.
• Pays close attention to what is being communicated verbally and nonverbally.
• Successfully resolves conflicts and grievances to a win-win solution.

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

Comments:

Attitude

• Appreciates feedback from others as an opportunity for self-improvement.
• Encourages team members of the potential benefits of taking a bold step, even if success isn't guaranteed.
• Shows up each day with a commitment to exceed expectations, not just meet them.
• Stands by decisions when appropriate, demonstrating thoughtful risk-taking and ownership.
• Demonstrates humility by embracing new ideas and feedback.

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

Comments:

Decision Making

• Combines and makes sense of contradictory pieces of information.
• Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
• Filters choices through company values, legal requirements, and long-term goals.
• Adjusts decision criteria as new information emerges, ensuring relevance and feasibility.
• Does not lose sight of the big picture when making decisions

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

Comments:

Achievement

• Reduced department expenses by 25 percent.
• Strives to exceed standards of performance.
• Follows-up and takes action when goals are not met to ensure better results in the future.
• Successfully launched the ABC project.
• Prioritizes time management and coordination, ensuring high-value tasks are addressed efficiently.

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

Comments:

Partnering/Networking

• Works to combine the unique strengths of each partner to develop new products or services.
• Supports strategic alliances to combine strengths of both parties.
• Engages in continuous dialogue through regular meetings or virtual meetups.
• Proactively addresses potential conflicts by identifying and resolving problems swiftly.
• Forms strategic alliances with firms that specialize in areas that are complementary or help the company.

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.