hr-survey.com Have Questions?

HR-Survey > 360-Degree Feedback > Competency Model > Interpersonal Skills

Interpersonal Skills - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey November

Dear Employee:
Questionnaires Measuring Interpersonal
You have been selected to participate in a 360-assessment. As part Skills:
of this process you will need to complete the self-assessment Survey 1 (4-point scale; Competency Comments)
questionnaire below. Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
In responding to the questions below, think about your experiences Survey 4 (5-point scale; radio buttons)
over the last 12 months. The effectiveness of this development tool Survey 5 (4-point scale; words)
is dependent on your honest, forthright and constructive responses Survey 6 (4-point scale; words)
so please bear this in mind as you answer each question. Your Survey 7 (5-point scale; competency comments; N/A)
responses will be aggregated with the responses received from Survey 8 (3-point scale; Agree/Disagree words; N/A)
others. A report will be shared with you at the conclusion of this Survey 9 (3-point scale; Strength/Development; N/A)
project. Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
We Survey 12 (Slide-bar scale)
Competencies Included: Survey 13 (4-point scale; numbers; floating anchors)
Interpersonal Skills, Passion To Learn, Attitude, Time Survey 14 (4-point scale; N/A)
Management, Achievement, Technical, Managing Risk,
Trustworthy, Negotiation, Strategic Focus, Planning

encourage everyone to complete the survey. Please be honest,

constructive and thoughtful in your input. The survey is designed to Sample Result Document in PDF format:
help us understand more about your thoughts and needs to make 360-Feedback Results (pdf)
this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what
we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between November 3 and November 16. The survey will only be available during
these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for
100% participation.

Management Team

Needs Could benefit Capable

Significant from and Role
Interpersonal Skills Improvement Development Effective Model

Needs Could benefit Capable

1. You demonstrate good communication with Role
Significant from and
colleagues and customers. Model
Improvement Development Effective

Needs Could benefit Capable

Role
2. You a good listener who is attentive to others. Significant from and
Model
Improvement Development Effective

© Copyright 2025, HR-Survey, LLC Legal Notice Web: hr-survey.com Site Map Email: [email protected]
 Needs Could benefit Capable
3. You are a role model for others demonstrating the Role
Significant from and
importance of interpersonal skills. Model
Improvement Development Effective

Needs Could benefit Capable

4. I offer praise to colleagues who have successfully Role
Significant from and
completed major projects. Model
Improvement Development Effective

Needs Could benefit Capable

5. I promote acceptance of diverse viewpoints from Role
Significant from and
team members. Model
Improvement Development Effective

Needs Could benefit Capable

Significant from and Role
Passion To Learn Improvement Development Effective Model

Needs Could benefit Capable

6. You are committed to enhancing your own Role
Significant from and
knowledge and skills. Model
Improvement Development Effective

Needs Could benefit Capable

Role
7. You enjoy learning new skills and techniques. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

8. You enhance your value to the company through Role
Significant from and
additional training and development. Model
Improvement Development Effective

Needs Could benefit Capable

9. You constantly enhance product knowledge through Role
Significant from and
experimentation and play. Model
Improvement Development Effective

Needs Could benefit Capable

10. You will participate in training classes even if offered Role
Significant from and
outside of normal working hours. Model
Improvement Development Effective

Needs Could benefit Capable

Significant from and Role
Attitude Improvement Development Effective Model

11. You take time to polish presentations, Needs Could benefit Capable
Role
communications, or reports, ensuring they reflect Significant from and
Model
professionalism and clarity. Improvement Development Effective

Needs Could benefit Capable

12. I see employee development as a journey and Role
Significant from and
express confidence in their continue growth. Model
Improvement Development Effective

Needs Could benefit Capable

13. I highlight progress and effort, even if outcomes are Role
Significant from and
still emerging. Model
Improvement Development Effective

Needs Could benefit Capable

14. You express belief in the team's ability to overcome Role
Significant from and
obstacles and deliver results. Model
Improvement Development Effective

Needs Could benefit Capable

15. I share credit broadly during celebrations or Role
Significant from and
presentations, highlighting others' contributions. Model
Improvement Development Effective

© Copyright 2025, HR-Survey, LLC Legal Notice Web: hr-survey.com Site Map Email: [email protected]
 Needs Could benefit Capable
Significant from and Role
Time Management Improvement Development Effective Model

Needs Could benefit Capable

Role
16. I avoid delays by working quickly. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

Role
17. You are excellent at keeping track of time. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

18. You schedule deep-focus time for complex Role
Significant from and
problem-solving and strategic planning. Model
Improvement Development Effective

Needs Could benefit Capable

19. You continue working on the most important tasks Role
Significant from and
until they are completed. Model
Improvement Development Effective

Needs Could benefit Capable

20. You effectively use subordinates to help get more Role
Significant from and
work done by the department. Model
Improvement Development Effective

Needs Could benefit Capable

Significant from and Role
Achievement Improvement Development Effective Model

21. I lead with structure, ensuring good execution of Needs Could benefit Capable
Role
initiatives and alignment with organizational Significant from and
Model
objectives. Improvement Development Effective

Needs Could benefit Capable

Role
22. You execute tasks with precision and speed. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

23. I push boundaries with ambitious goals that foster Role
Significant from and
growth and innovation. Model
Improvement Development Effective

Needs Could benefit Capable

24. I strive for operational excellence by refining Role
Significant from and
workflows and optimizing procedures. Model
Improvement Development Effective

Needs Could benefit Capable

Role
25. You take reasonable risks to achieve desired results. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

Significant from and Role
Technical Improvement Development Effective Model

26. You keep current with technical advances within Needs Could benefit Capable
Role
your professional discipline; embrace and apply new Significant from and
Model
techniques and practices Improvement Development Effective

Needs Could benefit Capable Role

27. You are naturally sought out by people outside your
Significant from and Model
particular area for advice and opinion on a broad
© Copyright 2025, HR-Survey, LLC Legal Notice Web: hr-survey.com Site Map Email: [email protected]
 range of matters - not necessarily solely legal Improvement Development Effective
advice.

Needs Could benefit Capable

28. You willingly share information and expertise; Role
Significant from and
sought out as resource by others Model
Improvement Development Effective

Needs Could benefit Capable

29. You are knowledgeable of procedures or systems Role
Significant from and
necessary for the job. Model
Improvement Development Effective

30. You use expertise to identify issues and think Needs Could benefit Capable
Role
through creative solutions to get a problem solved Significant from and
Model
or objective accomplished. Improvement Development Effective

Needs Could benefit Capable

Significant from and Role
Managing Risk Improvement Development Effective Model

Needs Could benefit Capable

Role
31. I accept risks as needed. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

32. You seek to maintain the long-term viability of the Role
Significant from and
Company through effective risk management. Model
Improvement Development Effective

Needs Could benefit Capable

33. I take steps to contain the costs of responding to Role
Significant from and
such events. Model
Improvement Development Effective

Needs Could benefit Capable

34. You implement changes to reduce the chances of Role
Significant from and
critical incidents in the future. Model
Improvement Development Effective

Needs Could benefit Capable

35. You prioritize the risks to determine the most Role
Significant from and
pressing needs. Model
Improvement Development Effective

Needs Could benefit Capable

Significant from and Role
Trustworthy Improvement Development Effective Model

Needs Could benefit Capable

Role
36. You deliver on promises made. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

37. You seek to mitigate grievances by clarifying Role
Significant from and
intentions and finding suitable remedies. Model
Improvement Development Effective

Needs Could benefit Capable

Role
38. You build and maintain the trust of others. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

Role
39. You are trustworthy; is someone that can be trusted. Significant from and
Model
Improvement Development Effective

© Copyright 2025, HR-Survey, LLC Legal Notice Web: hr-survey.com Site Map Email: [email protected]
 Needs Could benefit Capable
Role
40. You are a person others can count on. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

Significant from and Role
Negotiation Improvement Development Effective Model

Needs Could benefit Capable

41. You influence others through rational argument and Role
Significant from and
persuasion. Model
Improvement Development Effective

Needs Could benefit Capable

42. I use the motivations of each party to identify Role
Significant from and
mutually advantageous solutions. Model
Improvement Development Effective

Needs Could benefit Capable

43. You actively listen to conversations to be able to Role
Significant from and
recall important details later. Model
Improvement Development Effective

Needs Could benefit Capable

Role
44. You understand the motivations of the other party. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

45. You maintain good interpersonal relationships with Role
Significant from and
representatives from the other party. Model
Improvement Development Effective

Needs Could benefit Capable

Significant from and Role
Strategic Focus Improvement Development Effective Model

Needs Could benefit Capable

46. You avoid complacency and strives to be ahead of Role
Significant from and
changes in the business environment. Model
Improvement Development Effective

Needs Could benefit Capable

Role
47. I inspire employees to adopt the strategic plan. Significant from and
Model
Improvement Development Effective

Needs Could benefit Capable

48. You identify bottlenecks in the production process Role
Significant from and
and develops strategies to correct these issues. Model
Improvement Development Effective

Needs Could benefit Capable

49. I implement and execute the company's strategy for Role
Significant from and
advancing production capabilities. Model
Improvement Development Effective

50. You sustain or achieves a competitive advantage for Needs Could benefit Capable
Role
the organization by analyzing the best practices and Significant from and
Model
lessons learned from other organizations. Improvement Development Effective

Needs Could benefit Capable

Significant from and Role
Planning Improvement Development Effective Model

Needs Could benefit Capable

Role
51. I encourage others to follow the plan. Significant from and
Model
Improvement Development Effective
© Copyright 2025, HR-Survey, LLC Legal Notice Web: hr-survey.com Site Map Email: [email protected]
 Needs Could benefit Capable
52. You set the appropriate sequence of tasks to Role
Significant from and
efficiently achieve the goal. Model
Improvement Development Effective

Needs Could benefit Capable

53. I ensure staff have the supplies and resources Role
Significant from and
necessary to enact the plan. Model
Improvement Development Effective

Needs Could benefit Capable

54. I anticipate challenges and have plans to overcome Role
Significant from and
them. Model
Improvement Development Effective

Needs Could benefit Capable

55. I can accurately estimate the amount of Role
Significant from and
materials/supplies needed for the project. Model
Improvement Development Effective

56. Overall, please rate the effectiveness of [Participant Name Here].

5- Very Effective
4- Effective
3- Neither
2- Ineffective
1- Very Ineffective

57. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing
his/her current responsibilities.

58. Describe the most important things this person could improve upon in order to increase his/her overall
effectiveness in performing his/her current responsibilities.

59. Additional comments, if any for [Participant Name Here]'s assessment.

© Copyright 2025, HR-Survey, LLC Legal Notice Web: hr-survey.com Site Map Email: [email protected]