hr-survey.com

Communication - 360 Degree Feedback Survey Sample #2





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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. Feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences as an employee over the last twelve months and the goals you were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will become part of the assessment process to foster your growth and on-going development.

Sample Result Document:
Sample Results
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.

Please ensure that your submission is made between . The survey will only be available during these dates.
Edit this Survey
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Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You tailor writing to the intended audience.
  1. You deliver difficult/sensitive messages to co-workers in an appropriate manner
  1. You deliver difficult messages to co-workers in an appropriate manner
  1. You listen attentively and without interrupting team members and customers
  1. I effectively engage with everyone from the CEO to external partners.
What are your suggestions for how you can make improvements
in Communication Skills?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You pursue efforts to improve by seeking feedback from others.
  1. You create a culture of knowledge sharing to facilitate continuous improvement.
  1. You look for ways to expand current job responsibilities.
  1. You investigate the root causes of problems.
  1. You continually seek opportunities to improve efficiency.
What are your suggestions for how you can make improvements
in Continual Improvement?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I maintain consistency in effort--even when outcomes are uncertain or recognition is delayed.
  1. I frame setbacks as temporary and treatable, helping the team stay focused on solutions.
  1. I remain curious and adaptable, welcoming unfamiliar challenges with optimism.
  1. I share ideas proactively, even when the ideas are unconventional or unfinished, trusting the collaborative process.
  1. You remain grounded without a need for grandstanding or theatrics to make an impact.
What are your suggestions for how you can make improvements
in Attitude?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You actively seek constructive feedback from others.
  1. You understand and capitalize on relationships between conflicting goals.
  1. You divide complex problems or tasks into components/parts for further analysis.
  1. You utilize data and logical reasoning to address and challenge personal biases in decision-making.
  1. I analyze market trends, forecast sales, and optimize supply chain operations.
What are your suggestions for how you can make improvements
in Analytical?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You ensure that assignments are prioritized according to the needs of the department/company.
  1. You create an effective balance of workload between different projects.
  1. You observe, analyze, and respond to merchandise needs while serving customers and accomplishing operational tasks.
  1. You keep track of multiple assignments and deadlines.
  1. You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
What are your suggestions for how you can make improvements
in Juggling Multiple Responsibilities?

Collaboration

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I am tactful, compassionate and sensitive to the needs of others.
  1. You share insights, innovations, and resources to enhance efficiency.
  1. I create a culture that encourages understanding and valuing diverse perspectives to effectively resolve conflicts.
  1. I contribute resources and knowledge to support others' success.
  1. You encourage collaboration of fellow employees to achieve results.
What are your suggestions for how you can make improvements
in Collaboration?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are a person others can count on.
  1. You are trustworthy; is someone that can be trusted.
  1. You consistently keep commitments.
  1. You communicate an understanding of the other person's interests, needs and concerns.
  1. You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
What are your suggestions for how you can make improvements
in Trustworthy?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I avoid mixed messages by ensuring verbal and non-verbal cues reflect the same priorities.
  1. You develop and execute a strategic vision for the organization.
  1. I effectively communicate the vision to employees.
  1. I inspire individuals to achieve success by clearly communicating the organization's vision and motivating them to align their personal goals with this vision.
  1. I foster an environment where the vision is not only understood but lived.
What are your suggestions for how you can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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