Communication - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

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Communication Skills

• Addresses issues of key importance to stakeholders.
• Communicates the vision of the organization to all employees.
• Provides followup information and seeks to avoid misunderstandings.
• Delivers messages with energy, enthusiasm, and conviction.
• Checks for understanding throughout conversations or group presentations/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 manage their own emotions.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Able to understand others' points of view.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Is able to express themselves clearly.

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

Excellence

• Demonstrates the functional or technical skills necessary to do their job.
• Produces high quality work.
• Keeps themselves and others focused on constant improvement.
• Takes a lot of pride in their work.
• Can be counted on to add value wherever they are involved.

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

Responsible

• Acts as a resource without removing individual responsibility.
• Completes assigned work tasks.
• Sets high personal standards of performance.
• Behavior is ethical and honest.
• ...takes personal responsibility for results.

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

Organizational Fluency

• Effective in communicating with others within the organization.
• Able to explain departmental policies and procedures to others.
• Able to use corporate politics to advance department objectives.
• Gets things done through the department.
• Understands departmental policies and procedures.

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.