Communication - 360 Degree Feedback Survey Sample #12

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.

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

• Confidently communicates across all organizational levels, including external stakeholders.
• Addresses issues of key importance to stakeholders.
• Checks for understanding throughout conversations or group presentations/discussions
• Accurately attends to/understands ideas which are exchanged.
• Confidently interacts with all tiers of the organization.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Punctuality

• Arrives to meetings on time.
• Maintains an efficient schedule of activities.
• Avoids making personal phone calls during working hours.
• Conducts appointments at scheduled start time.
• Responds to requests for information in a timely manner.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Innovation

• Analyzes current procedures and identifies opportunities for improvement.
• Searches for opportunities and innovative ways to improve the organization.
• Solves problems with insight and understanding.
• Finds creative ways to get things done with limited resources.
• Develops new products and services.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Regulatory/Compliance

• Works quickly to implement changes in regulations.
• Creates documents and reports as needed to maintain compliance with regulations.
• Reviews the compliance program and recommends changes based on new industry trends.
• Coordinates with legal counsel investigating any instances of misconduct.
• Develops and implements a compliance data recordkeeping system.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Conflict Management

• Is responsive to contentious issues.
• Removes misperceptions that may be contributing to the conflict.
• Tries to ensure that all basic needs are satisfied.
• Initates collaborative processes to reduce conflict.
• Guides others toward establishing strong relationships.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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