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.

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.


Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You check for understanding throughout conversations or group presentations/discussions
  1. I conduct impactful training sessions.
  1. You clarify words or statements to gain better understanding of the message.
  1. You deliver influential training.
  1. You support communication systems recently implemented.
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 pursue efforts to improve by seeking feedback from others.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You create a culture of knowledge sharing to facilitate continuous improvement.
  1. You continually seek opportunities to improve efficiency.
  1. You look for ways to improve work processes and procedures.
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 are approachable and easy to talk to.
  1. You appreciate the efforts of others.
  1. You have genuine concern for others.
  1. You visibly support and encourages diversity in style and background.
  1. You contribute to a positive work environment.
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 use data from a variety of sources.
  1. You use standard data collection practices.
  1. You identifiy opportunities for progress and innovation.
  1. You validate the accuracy of data collected.
  1. You implement data validation techniques and methods.
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 ensure that assignments are prioritized according to the needs of the department/company.
  1. You begin tasks as soon as possible.
  1. You prioritize tasks for efficiency.
  1. You can easily switch between tasks when a critical incident requires attention.
  1. You build in extra time in the schedule for unplanned events/occurrences.
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 use digital tools to support collaborative efforts in document creation?
  1. You ensure relevant data is available to all committee members.
  1. You build strong interpersonal relationships for more effective collaboration.
  1. You work with others to resolve differences.
  1. You share skills and time to help the team thrive.
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 communicate an understanding of the other person's interests, needs and concerns.
  1. You work in a way that makes others want to work with you.
  1. You consistently keep commitments.
  1. You build and maintain the trust of others.
  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 establish a timeline for attainment of the organization's vision.
  1. You inspire employees to support the departmental vision.
  1. I inspire individuals to achieve success by clearly communicating the organization's vision and motivating them to align their personal goals with this vision.
  1. You translate the department's vision into actionable objectives and a strategic plan.
  1. You communicate the vision and strategy of [Company]
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.