Communication - 360 Degree Feedback Survey Sample #11





360 Feedback Survey

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)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

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


Communication Skills

What does Communication Skills mean?
It means that ...
  • You present your message with professionalism.
  • I facilitate seamless communication across all management levels.
  • I set the on-line status to "available" to indicate they are available for communication.
  • You are an effective communicator
  • You accurately attends to/understands ideas which are exchanged.

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

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 protect the integrity and confidentiality of information
  • You develop trust and confidence from others.

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

Juggling Multiple Responsibilities

What does Juggling Multiple Responsibilities mean?
It means that ...
  • You assign tasks based on skills of team members.
  • You ensure that assignments are prioritized according to the needs of the department/company.
  • You coordinate the work of a team by assigning tasks to other team members.
  • You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  • You use a scheduler/planner to keep tasks organized and on time.

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

Clarity

What does Clarity mean?
It means that ...
  • You make sure employees understand why they were given certain assignments.
  • You clearly explains responsibilities to individuals.
  • You provide a clear vision for the future.
  • You clearly define work objectives for employees.
  • You avoid creating ambiguity or mixed messages.

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

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 take immediate action on poor performance
  • You adapt coaching and mentoring approach to meet the style or needs of individuals
  • You give others development opportunities through project assignments and increased job responsibilities

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


Areas for Development


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