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

• Conveys ideas confidently and succinctly.
• Delivers information in a clear, concise, and logical manner.
• Listens to others' points of view with an open mind
• Able to deliver presentations.
• An effective listener who is responsive to information needs.

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

Comments:

Punctuality

• Starts meetings on time.
• Maintains an efficient schedule of activities.
• Conducts appointments at scheduled start time.
• Invoices clients on a timely basis.
• 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

• Offers constructive improvements to existing systems.
• Challenges current procedures to develop other alternatives.
• Finds creative ways to get things done with limited resources.
• Creates a safe environment for idea-sharing.
• Solves problems with insight and understanding.

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

Comments:

Regulatory/Compliance

• Addresses issues quickly before they develop into major problems.
• Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
• Creates documents and reports as needed to maintain compliance with regulations.
• Performs regular compliance audits.
• 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

• Assists team members by helping them see the other point of view.
• Deals effectively with employee grievances.
• Identifies and takes steps to prevent potential confrontations.
• Discusses conflict situations with supervisor.
• Tries to understand others' point of view before making judgments

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.