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