Communication - 360 Degree Feedback Survey Sample #12





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; floating anchors)
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

  • Faces the person when speaking or listening to engage in direct communication.
  • Delivers messages with personal energy, enthusiasm, and conviction.
  • Is an effective communicator
  • Willing to accept feedback from others.
  • Notifies others about developments in plans and goals.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Punctuality

  • Responds to requests for information in a timely manner.
  • Invoices clients on a timely basis.
  • Avoids making personal phone calls during working hours.
  • Maintains an efficient schedule of activities.
  • Arrives to meetings on time.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Innovation

  • Has a strong commitment to innovation.
  • Implements best practice methods within the Company.
  • Encourages disruptive innovation allowing managers to identify and seize opportunities that traditional approaches might overlook.
  • Offers constructive improvements to existing systems.
  • Takes risks to advance important ideas.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Regulatory/Compliance

  • Provides documents and reports as needed to maintain compliance with laws.
  • Develops regulatory compliance strategies.
  • Complies with trade agreements affecting international companies.
  • Uses compliance reports to evaluate the effectiveness of compliance initiatives identifying areas of risk.
  • Works quickly to implement changes in regulations.
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.
  • Determines who has the autonomy (authority) to make the decisions necessary to end the conflict.
  • Actively engages both parties to voluntarily collaborate and resolve their differences.
  • Encourages individuals to modify their underlying work behaviors that may have contributed to the conflict.
  • Ensures fair treatment for both parties, giving each the chance to speak and share their viewpoints.
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.