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Communication - 360 Degree Feedback Survey Sample #2





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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. 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 as an employee over the last twelve months and the goals you were asked to achieve. 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 become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Communication Skills, Continual Improvement, Attitude, Analytical, Juggling Multiple Responsibilities, Collaboration, Trustworthy, Vision
Sample Result Document:
Sample Results
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.

Please ensure that your submission is made between . The survey will only be available during these dates.
Edit this Survey
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Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I welcome input and suggestions from others.
  1. You tailor oral communications to the intended audience.
  1. You consider the audience in how the communication is presented.
  1. I adapt language and terminology to meet the needs of the audience.
  1. You communicate a clear understanding of the subject at hand.
What are your suggestions for how you can make improvements
in Communication Skills?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You identify opportunities to improve workflow processes through the better use of technology.
  1. You pursue efforts to improve by seeking feedback from others.
  1. You continually seek opportunities to improve efficiency.
  1. You are open to the suggestions from others.
What are your suggestions for how you can make improvements
in Continual Improvement?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You show by your actions that you trust in the positive intentions of others.
  1. You are pleasant and gracious to work with.
  1. You contribute to a positive and fun work environment.
  1. You build open and trusting relationships.
  1. You are approachable and easy to talk to.
What are your suggestions for how you can make improvements
in Attitude?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You divide complex problems or tasks into components/parts for further analysis.
  1. I assess the validity and correctness of the data before using it to draw conclusions.
  1. I measure costs associated with various programs and policies.
  1. You create graphs, charts, and other visual representations of data making it easier to interpret and communicate findings.
  1. I use cognitive skills or strategies that increase the probability of a desirable outcome.
What are your suggestions for how you can make improvements
in Analytical?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You keep track of multiple assignments and deadlines.
  1. You assess current capabilities before committing to new requests from customers.
  1. You prioritize tasks for efficiency.
  1. You can easily switch between tasks when a critical incident requires attention.
  1. You organize tasks for the most efficient order of completion.
What are your suggestions for how you can make improvements
in Juggling Multiple Responsibilities?

Collaboration

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I am committed to fostering a collaborative work environment in the department.
  1. You are comfortable working with employees from different departments/divisions.
  1. You create an environment where others feel comfortable sharing knowledge and information.
  1. You encourage open communication to support a collaborative environment.
  1. You create an environment of open and transparent communication.
What are your suggestions for how you can make improvements
in Collaboration?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You consistently keep commitments.
  1. You demonstrate congruence between statements and actions.
  1. You take ownership, deliver on commitments
  1. You are trustworthy; is someone that can be trusted.
  1. You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
What are your suggestions for how you can make improvements
in Trustworthy?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I guide employees to prioritize crucial components of the vision.
  1. You are a positive influence on employees, encouraging them to take the initiative and be proactive in their roles.
  1. You envision and articulate a clear path for the department's growth over the next year.
  1. You convert the department's vision into specific goals and a strategic plan.
  1. You shape strategies that resonate with the department's shared vision.
What are your suggestions for how you can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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