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

• Uses tact, compassion, and sensitivity in interactions with others.
• Responds quickly to inquiries from potential customers.
• Demonstrates good communication with colleagues and customers.
• Creates diverse teams of individuals with different backgrounds, skills, and abilities.
• Communicates well at all levels of the organization.

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 work environment.
• Builds open and trusting relationships.
• Treats all people fairly and with respect.
• Shows by their actions that they trust in the positive intentions of others.

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

Comments:

Decision Making

• Is aware of the impact of decisions and informs others about potential outcomes.
• Maintains focus on the "big picture" when making decisions.
• Takes into account the impact decisions will have on others.
• Does not lose sight of the big picture when making decisions
• Learns from previous bad decisions and rarely repeats them.

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

Comments:

Achievement

• Demonstrates improvement in performance.
• Helps others to improve or meet standards of performance.
• Successfully completed the orientation training program.
• Set high standards in their performance
• Met required benchmarks for the position.

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

Comments:

Partnering/Networking

• Supports and encourages relationships that are created by diverse team members.
• Partners with peers to obtain influence within the Company.
• Seeks to reduce institutional roadblocks to information sharing.
• Collaborates with others to accomplish goals and objectives.
• Maintains infrastructure to support partnerships and networks.

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.