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

• Provides feedback in a helpful and respectful way, focusing on improvement.
• Communicates with department leadership
• Speaks clearly, fluently, and in a compelling manner to both individuals and groups.
• Open to receiving feedback from others.
• Provides straightforward and brief directions.

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.
• Avoids making personal phone calls during working hours.
• Arrives to meetings on time.
• Conducts appointments at scheduled start time.
• Starts meetings on time.

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

Comments:

Innovation

• Adjusts creative approaches to ensure they meet both short-term and long-term business goals.
• Empowers employees to create innovative solutions to problems.
• Effective in bringing up new ideas.
• Facilitates networking events or brainstorming sessions where employees can share insights and inspirations.
• Helps to identify and create value from innovation.

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

Comments:

Regulatory/Compliance

• Implements regulatory changes in a timely manner.
• Appoints a supervisory committee to ensure effective oversight of the organization.
• Reviews documentation and procedures manuals to ensure regulatory compliance.
• Tracks employee participation in development opportunities as required by industry regulations.
• Develops the appropriate incentives (or disincentives) for regulatory compliance.

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

Comments:

Conflict Management

• Facilitates dialog between stakeholders.
• Seeks to avert the recurrence of conflict issues.
• Promotes mutual compromise to achieve conflict resolution.
• Initates collaborative processes to reduce conflict.
• Encourages team members to express their ideas and concerns openly.

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.