360° FEEDBACK FORM FOR INDIVIDUALS
PYGMALION CLIENT:
Please fill client name
ORGANIZATION:
Please enter organization name without punctuation.
YOUR NAME:
Please fill name
ORGANIZATION:
Please fill organization
DATE (mm/dd/yyyy):
Please fill correct date (mm/dd/yyyy)
WHAT DO YOU FIND MOST VALUABLE ABOUT THE WAY HE/SHE COMMUNICATES?
HOW COULD THEY/HE/SHE IMPROVE HIS/HER COMMUNICATION?
RANK THE FOLLOWING COMMUNICATION SKILLS FROM 1 TO 10
EXPERTISE:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
STRUCTURE OF MESSAGE:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
WRITING SKILLS:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
USE OF VISUAL AIDS:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
PRESENTATION SKILLS:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
LISTENING SKILLS:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
ETIQUETTE:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
CHARISMA:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
SENSE OF HUMOR:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
APPEARANCE:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
OVERALL RATING:
10 - Excellent
9 - Excellent
8 - Excellent
7 - Above Average
6 - Above Average
5 - Above Average
4 - Average
3 - Average
2 - Average
1 - Less Than Expected
0 - Less Than Expected
Choose Rating
