Communication - 360 Degree Feedback Survey Sample #12

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.

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Communication Skills

• Prepares and delivers presentations.
• Listens to others' points of view with an open mind
• Is someone I can go to when I have a problem or issue.
• Maintains an open-door policy to be available for answers and guidance when needed.
• Provides the reasoning behind choices and actions.

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

Comments:

Punctuality

• Starts the workday when scheduled.
• Conducts appointments at scheduled start time.
• Avoids making personal phone calls during working hours.
• Responds to requests for information in a timely manner.
• Invoices clients on a timely basis.

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

Comments:

Innovation

• Looks for ways that the company can make profit that are different from how competitors operate.
• Takes risks to advance important ideas.
• Facilitates ongoing technical training and development to enable employees to contribute to innovative solutions.
• Seeks new ideas and adapts to changing environments.
• Creates improved methods or solutions for meeting goals and objectives.

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

Comments:

Regulatory/Compliance

• Develops the appropriate incentives (or disincentives) for regulatory compliance.
• Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
• Complies with trade agreements affecting international companies.
• Integrates reporting systems with enterprise resource planning (ERP) tools to ensure real-time compliance tracking.
• Provides documents and reports as needed to maintain compliance with laws.

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

Comments:

Conflict Management

• Works to settle conflicts in a manner that is acceptable for a long-term solution.
• Applies diagnostic thinking to interpersonal tensions, identifying whether the issue stems from values, roles, goals, or procedures.
• Seeks to achieve mutually acceptable outcomes.
• Examines differences and disagreements for creative and strategic resolutions.
• Builds coalitions or allies to reinforce key messages and create momentum for resolution.

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.