Communication - 360 Degree Feedback Survey Sample #2

Instructions

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 and the goals they 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 be 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.

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

Communication Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
An effective listener who is responsive to information needs.
Communications with department leadership
Deals with difficult situations calmly and confidently.
Is an effective communicator
What are your suggestions for how can make improvements in Communication Skills?
Continual Improvement	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Looks for ways to improve work processes and procedures.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
What are your suggestions for how can make improvements in Continual Improvement?
Punctuality	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Maintains an efficient schedule of activities.
Conducts appointments at scheduled start time.
Starts meetings on time.
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
What are your suggestions for how can make improvements in Punctuality?
Attitude	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Works to eliminate unnecessary work or barriers that get in others' way.
Shows by their actions that they trust in the positive intentions of others.
Builds open and trusting relationships.
Contributes to a positive and fun work environment.
Treats all people fairly and with respect.
What are your suggestions for how can make improvements in Attitude?
Analytical	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Asks the "right" questions to size up or evaluate situations.
Analyzes data and information from several sources and arrives at logical conclusions.
Can effectively interpret and analyze data.
Actively seeks constructive feedback from others.
Identifies the root cause of a problem.
What are your suggestions for how can make improvements in Analytical?
Initiative	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Takes the initiative to change the direction or course of events.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes action without being asked.
Goes above and beyond the stated goals.
Seeks and utilizes opportunities for continuous learning and self-development.
What are your suggestions for how can make improvements in Initiative?
Juggling Multiple Responsibilities	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Can multi-task while performing all of their other responsibilities and activities.
Assesses current capabilities before committing to new requests from customers.
Bounces back from daily crisis, disappointments and frustrations.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Plans and organizes continuously while performing all other responsibilities and activities.
What are your suggestions for how can make improvements in Juggling Multiple Responsibilities?
Trustworthy	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Builds and maintains the trust of others.
Is trustworthy; is someone I can trust.
Takes care to maintain confidential information.
Works in a way that makes others want to work with her/him.
Demonstrates congruence between statements and actions.
What are your suggestions for how can make improvements in Trustworthy?
Interpersonal Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is a role model for others
Values the opinions of others.
Applies appropriate communication techniques to the situation.
Provides constructive feedback in a way that fosters acceptance and development.
Successfully resolves conflicts and grievances to a win-win solution.
What are your suggestions for how can make improvements in Interpersonal Skills?
Trustworthy	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Demonstrates congruence between statements and actions.
Takes care to maintain confidential information.
Builds and maintains the trust of others.
Delivers on promises made.
Consistently keeps commitments.
What are your suggestions for how can make improvements in Trustworthy?
Vision	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Leads employees in new directions.
Communicates a vision of where the Company needs to be in the future.
Persuades others to follow the Company's vision.
Creates a common vision for others.
Communicates the vision and strategy of [Company]
What are your suggestions for how can make improvements in Vision?

56. Strengths
    
    
    
57. Areas for Development
    
    
    
58. Please give any final comments or suggestions for 's assessment.