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Just because you send a message doesn't mean others receive it or understand it. This is why it's important to clarify any complex messages you send as one role of feedback in communication.
Effective business communication results in positive feedback, such as a sale or a referral. Other forms of feedback or a lack of action altogether results from ineffective messaging.
This last step, the feedback step, is crucial to ensuring the communication is received in the same way it was intended. If this occurs, the communication is fully effective.
Of course, communication is an exchange and, ultimately, meaning happens through the ears, eyes, experiences and filters of the listener. The responsibility of the communicator is a large one.