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

• Coaches others and provides feedback on the use of different oral communication styles for different audiences
• Communicates effectively with colleagues and customers
• Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
• An effective listener who is responsive to information needs.
• Addresses issues of key importance to stakeholders.

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

Comments:

Punctuality

• Conducts appointments at scheduled start time.
• Invoices clients on a timely basis.
• Responds to requests for information in a timely manner.
• Arrives to meetings on time.
• Starts the workday when scheduled.

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

Comments:

Innovation

• Finds creative ways to get things done with limited resources.
• Challenges current procedures to develop other alternatives.
• Fosters a creative and innovative work environment.
• Takes risks to advance important ideas.
• 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

• Maintains compliance with federal, state, and local laws.
• Explains regulations and procedures to others as required.
• Complies with regulatory requirements for the state.
• Ensures regulations are followed as required.
• Offers training to employees to ensure they are complying with regulations.

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

Comments:

Conflict Management

• Tries to understand others' point of view before making judgments
• Helps employees to think through alternative ways to resolve conflict situations.
• Identifies and takes steps to prevent potential confrontations.
• Discusses conflict situations with supervisor.
• Deals effectively with employee grievances.

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.