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Communication - 360 Degree Feedback Survey Sample #1

This example questionnaire evaluates communication skills, which are essential for effective and efficient work in any professional setting. Communication skills encompass a variety of abilities, including listening, speaking, writing, and non-verbal communication. These skills enable individuals to convey information clearly, engage in meaningful dialogue, collaborate with colleagues, and build strong relationships with clients and stakeholders. Proficiency in communication fosters a positive work environment, enhances teamwork, and contributes to the successful achievement of organizational goals. By assessing these skills, the questionnaire aims to identify strengths and areas for improvement, ultimately supporting personal and professional development.




360-Degree Feedback Survey

Questionnaires Measuring Communication:
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:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . 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
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Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Approachable, dependable, and ready to assist when needed.
  1. Adapts language and terminology to meet the needs of the audience.
  1. Presents issues, ideas, and strategy concisely and clearly.
  1. Faces the person when speaking or listening to engage in direct communication.
  1. Listens to others' points of view with an open mind
  1. Able to communicate ideas effectively and succinctly to both individuals and groups, in any setting.
  1. Confidently communicates across all organizational levels, including external stakeholders.
  1. Mentors others on enhancing their written communication.
  1. Accurately attends to/understands ideas which are exchanged.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Addresses performance issues quickly.
  1. Fixes small issues before they become critical incidents.
  1. Takes action when opportunities arise.
  1. Is proactive rather than reactive in work.
  1. Addresses safety issues immediately.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is open to new ideas and concepts.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Pursues learning that will enhance job performance.
  1. Participates in regular training offered.
  1. Builds on their strengths while addressing their weaknesses.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Project Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Accurately determines the number of engineers required for the project.
  1. Documents the sequence of steps needed to complete the project.
  1. Presents clear and accurate status information to required constituents.
  1. Ensures resources are utilized at the appropriate levels for each phase of the project.
  1. Hold team members accountable for completing specific tasks on the project.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Understands how their decisions will affect others.
  1. Decides which long-term goals should be met.
  1. Uses reasonable assumptions and logic to decide between alternate courses of action
  1. Willing to change their strategy if new information arises.
  1. Views the long and short-term impact of decisions.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Time Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Prepares to-do lists for the project tasks.
  1. Consistently meets production deadlines.
  1. Approaches work with a sense of urgency.
  1. Gets more accomplished than others in the same amount of time.
  1. Prioritizes major tasks over smaller ones.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Proficient in the use of technical systems and processes.
  1. Supports technical training and development of employees.
  1. Adopts the implementation of new technology into the workplace.
  1. Applies complex rules and regulations to maintain optimal system performance.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Works diligently to assist customers in finding the right products.
  1. Maintains a high degree of honesty and integrity.
  1. Offers constructive criticism to have a positive impact on performance.
  1. Assists those in the department who need help in meeting performance metrics.
  1. 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?

Managing Risk

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Evaluates risks in terms of their consequences and likelihood of occurrence.
  1. Determines the impact of specific risks on infrastructure.
  1. Monitors the effectiveness of risk management strategies.
  1. Works effectively to avoid risk.
  1. Creates a risk profile for projects and teams.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?

Client Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Understands the needs of the client.
  1. Regularly receives positive feedback from clients.
  1. Tailors innovative products for each client.
  1. Is pro-active in dealing with clients and addressing their needs.
  1. Identifies the core needs of the client.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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