Neutral Communication Feedback Form
Share your feedback on recent neutral communication interactions to help us improve clarity, tone, and effectiveness.
Your Name
First Name
Last Name
Email Address
example@example.com
Date of Communication
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Your Role in the Communication
*
Please Select
Sender
Recipient
Observer
Other
Type of Communication
*
Email
In-person conversation
Phone call
Video call
Instant message/chat
Other
Please rate the following aspects of the communication:
*
Rows
Clarity
Tone
Respectfulness
Objectivity
Effectiveness
Very Poor
1
2
3
4
5
Poor
6
7
8
9
10
Neutral
11
12
13
14
15
Good
16
17
18
19
20
Excellent
21
22
23
24
25
How neutral was the overall communication?
*
Not neutral at all
1
2
3
4
Completely neutral
5
1 is Not neutral at all, 5 is Completely neutral
What did you find most effective about the communication?
Were there any areas where the communication could be improved?
Would you like to provide any additional comments or suggestions?
How likely are you to recommend this communication approach to others?
1
2
3
4
5
Would you like a follow-up regarding your feedback?
Yes
No
Submit Feedback
Should be Empty: