Communication - 360 Degree Feedback Survey Sample #11

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.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Edit this Survey

Would you like to edit this survey? Click here to begin.

Communication Skills

What does Communication Skills mean?
It means that ...

• I listen attentively and respond thoughtfully, showing I value the conversation.
• You communicate with department leadership
• I update others on changes or progress in plans and goals.
• You summarize or paraphrase the current question to confirm understanding.
• You communicate effectively with all levels of the organization.

To what extent does this person exhibit Communication Skills?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Integrity

What does Integrity mean?
It means that ...

• You demonstrate honesty and truthfulness at all times.
• You follow tasks to completion.
• You foster a high standard of ethics and integrity.
• You foster an environment built upon trust.
• You establish relationships of trust, honesty, fairness, and integrity.

To what extent does this person exhibit Integrity?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Juggling Multiple Responsibilities

What does Juggling Multiple Responsibilities mean?
It means that ...

• You assess current capabilities before committing to new requests from customers.
• You keep track of multiple assignments and deadlines.
• You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
• You begin tasks as soon as possible.
• You switch attention to more urgent tasks when necessary.

To what extent does this person exhibit Juggling Multiple Responsibilities?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Clarity

What does Clarity mean?
It means that ...

• You attend to the important details of a job or task.
• You avoid stating unclear or conflicting goals.
• You avoid creating ambiguity or mixed messages.
• You are clear about the roles and duties of team members.
• You make sure goals and objectives are clearly and thoroughly explained and understood.

To what extent does this person exhibit Clarity?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Co-worker Development

What does Co-worker Development mean?
It means that ...

• You work to identify root causes of performance problems
• You provide ongoing feedback to co-workers on your development progress
• You set and clearly communicate expectations, performance goals, and measurements to others
• You take immediate action on poor performance
• You adapt coaching and mentoring approach to meet the style or needs of individuals

To what extent does this person exhibit Co-worker Development?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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