Communication - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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.

Communication Skills

• Communicates concepts and ideas to others.
• Checks for understanding throughout conversations or group presentations/discussions
• Adapts language and terminology to meet the needs of the audience.
• Ensures comprehension during conversations or group presentations.
• Verifies understanding throughout discussions.

If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Emotional Intelligence

• Is able to express themselves clearly.
• Is able to control their own emotions.
• Accurately perceives the emotional reactions of others.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.

If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Excellence

• Can be counted on to add value wherever they are involved.
• Is planful and organized.
• Keeps themselves and others focused on constant improvement.
• Produces high quality work.
• Demonstrates the analytical skills to do their job.

If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Responsible

• ...takes personal responsibility for results.
• Works in a way that makes others want to work with her/him.
• Sets a good example.
• Responsible for setting the vision of the department.
• Sets a good example

If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

Organizational Fluency

• Able to use corporate politics to advance department objectives.
• Able to deal with sensitive issues with tact and professionalism.
• Understands departmental policies and procedures.
• Understands the current organizational culture.
• Effective in communicating with others within the organization.

If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


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