Interpersonal Skills - 360 Degree Feedback Survey Sample #14





360 Feedback Survey

Questionnaires Measuring Interpersonal Skills:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
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 .

Interpersonal Skills

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Maintains a high degree of honesty and integrity.
  1. Values the input from coworkers.
  1. Takes time to recognize the efforts of others.
  1. Gives constructive feedback on performance reviews.
  1. Builds a strong rapport with co-workers.
  1. Is well respected in the department.
  1. Values the opinions of others.
  1. Is a highly respected individual in the company.
  1. Responds quickly to inquiries from potential customers.
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
  1. Works in a way that makes others want to work with her/him.
  1. Consistently keeps commitments.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Delivers on promises made.
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
  1. Visibly supports and encourages diversity in style and background.
  1. Is gracious and professional in their interactions with others.
  1. Contributes to a positive and fun work environment.
  1. Treats all people fairly and with respect.
  1. Contributes to a positive work environment.
  1. Shows by their actions that they trust in the positive intentions of others.
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
  1. Is above average in addressing the needs of the customers.
  1. Puts customer's needs first.
  1. Documents customer interactions.
  1. Helps customers feel they are receiving services tailored specifically to their needs.
  1. Makes sure team members understand the issues faced by the customer.
  1. Transparent in all communications with the customer.
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
  1. Shares resources, technology, facilities, or intellectual property to benefit both partners.
  1. Establishes appropriate monitoring of activities in the network.
  1. Facilitates the formation of collaborative relationships with suppliers and vendors.
  1. Is aware of the location/availability of resources within the network.
  1. Networks with others in the company to better understand the workflows and operational requirements.
  1. Attends industry conferences and seminars to meet new contacts and learn from industry leaders.
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
  1. Makes decisions based on novel interpretations of the facts.
  1. Has enough self-control to avoid making impulsive decisions.
  1. Receptive to new ideas from others when making decisions.
  1. Maintains focus on the "big picture" when making decisions.
  1. Views the issues from multiple perspectives before making a decision.
  1. Evaluates information before making a final decision.
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
  1. Takes immediate action of projects that fall behind schedule.
  1. Is determined to complete tasks regardless of obstacles that may occur.
  1. Demonstrates a well-organized and timely approach to achieve desired results
  1. Helps others to improve or meet standards of performance.
  1. Uses established goals and performance measures to keep track of performance.
  1. Set high standards in their performance
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.