Interpersonal Skills - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Interpersonal Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Assists employees that need help.
Effectively manages conflicts by dealing with them directly and immediately
Demonstrates a high degree of ethics and integrity in the workplace.
Gives constructive feedback on performance reviews.
Follows up on inquiries in a timely manner.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Uses tact, compassion, and sensitivity in interactions with others.
Willing to overlook personal differences and focus on completing the task at hand.
Is a role model for others demonstrating the importance of interpersonal skills.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Takes ownership, delivers on commitments
Is a person you can trust.
Builds and maintains the trust of others.
Demonstrates a sense of responsibility and commitment to public trust.
Is trustworthy; is someone I can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Visibly supports and encourages diversity in style and background.
Works to eliminate unnecessary work or barriers that get in others' way.
Is gracious and professional in their interactions with others.
Contributes to a positive work environment.
Shows by their actions that they trust in the positive intentions of others.
Treats all people fairly and with respect.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Prioritizes the needs and preferences of the customer.
Accepts responsibility for ensuring customer satisfaction.
Has received good feedback from customers.
Regularly receives positive feedback from customers.
Identifies the core needs of the customer.
Is consistent in services provided to customers.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Supports communication and collaboration with other leaders in the industry.
Enters into licensing agreements to share intellectual property.
Facilitates cross-functional collaboration and information sharing between various stakeholders.
Partners with supply chain companies to enhance availability of resources and material.
Creates value within the Company by building networks.
Understands the potential implications of the partnership.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Learns from previous bad decisions and rarely repeats them.
Is able to learn from mistakes.
Open to the suggestions from subordinates.
Makes decisions independently (without having to be told what or how).
Understands how different perspectives can help make better informed decisions.
Acts confidently in the absence of guidance.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Completes work to a high technical standard
Rapidly completes tasks and assignments.
Accepts setbacks and challenges as improvement opportunities
Increased production by 20 percent.
Takes immediate action of projects that fall behind schedule.
Improved the quality of work on the production line.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.