360 Degree Feedback Survey
Employee Information
Name
*
First Name
Last Name
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Communication Skills
Please rate his/her communication skills
Rows
Excellent
Great
Good
Poor
Very Poor
NA
How do you rate his/her verbal communications?
1
2
3
4
5
6
How do you rate his/her writing skills?
7
8
9
10
11
12
Does this individual listen effectively?
13
14
15
16
17
18
Does this individual understand the topic during discussions or during coaching?
19
20
21
22
23
24
Does this individual able to deliver his/her thoughts properly to the audience?
25
26
27
28
29
30
Comments or suggestions
*
Please support your answers in one or two sentences that this individual does well and or can improve upon
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Leadership Skills
Please rate his/her leadership skills
Rows
Excellent
Great
Good
Poor
Very Poor
NA
Do you think this individual has leadership abilities?
31
32
33
34
35
36
Does this individual able to influence others that will help them in their current job responsibilities?
37
38
39
40
41
42
Does this individual able to delegate responsibilities or tasks properly?
43
44
45
46
47
48
Does this individual has good decision-making skills?
49
50
51
52
53
54
Have you seen this individual motivates his/her colleagues to effectively do their job?
55
56
57
58
59
60
Does this individual take ownership and accountability for the actions and decisions he/she made?
61
62
63
64
65
66
Comments or suggestions
*
Please support your answers in one or two sentences that this individual does well and or can improve upon
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Teamwork
Please rate his/her teamplayer skills
Rows
Excellent
Great
Good
Poor
Very Poor
NA
Is this individual reliable, loyal, and devoted?
67
68
69
70
71
72
Does this individual participate in team-related activities?
73
74
75
76
77
78
Does this individual help hi/sher colleagues for the improvement of the team?
79
80
81
82
83
84
Is he/she open for communication?
85
86
87
88
89
90
Does he/she promote and support teamwork in the department or company?
91
92
93
94
95
96
Comments or suggestions
*
Please support your answers in one or two sentences that this individual does well and or can improve upon
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Others
Please rate this individual accordingly:
Rows
Excellent
Great
Good
Poor
Very Poor
NA
Can you count on this individual to perform well on the assigned tasks?
97
98
99
100
101
102
Is this individual not afraid to take risk?
103
104
105
106
107
108
Do you trust this individual?
109
110
111
112
113
114
Does this individual not afraid to do mistakes?
115
116
117
118
119
120
Does this individual encourage others who needs help specially in the tasks or responsibilities they are assigned to?
121
122
123
124
125
126
Does this individual proactively report possible problems/issues that will affect the company?
127
128
129
130
131
132
Is this individual open for feedback and suggestions?
133
134
135
136
137
138
Comments or suggestions
*
Please support your answers in one or two sentences that this individual does well and or can improve upon
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Will you recommend this individual to a colleague?
1
2
3
4
5
6
7
8
9
10
What are his/her strengths?
What are his/her weaknesses?
Please list down below his/her areas of improvement.
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