Communication - 360 Degree Feedback Survey Sample #10

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.

Communication Skills

• Able to deliver presentations.
• Presents issues, ideas, and strategy concisely and clearly.
• Asks follow-up questions as needed.
• Communicates effectively with all levels of the organization.
• Listens to others' points of view with an open mind

If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Emotional Intelligence

• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Able to understand others' points of view.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Is able to express themselves clearly.

If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Excellence

• Demonstrates the functional or technical skills necessary to do their job.
• Demonstrates the analytical skills to do their job.
• Keeps themselves and others focused on constant improvement.
• Takes a lot of pride in their work.
• Is planful and organized.

If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Responsible

• Behavior is ethical and honest.
• Is a person you can trust.
• Holds herself / himself accountable to goals / objectives
• Acts as a resource without removing individual responsibility.
• ...takes personal responsibility for results.

If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

Organizational Fluency

• Is aware of other organizational cultures to compare/contrast with the current organizational culture.
• Able to use corporate politics to advance department objectives.
• Understands the current organizational culture.
• Able to explain departmental policies and procedures to others.
• Understands departmental policies and procedures.

If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

Overall, please rate the effectiveness of [Participant Name Here].

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.