Clarity - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Clarity	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Attends to the important details of a job or task.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Maintains clarity in goals and objectives.
Checks details thoroughly.
Clarifies problems and their causes to help employees correct them.
If were to make improvements in Clarity, what are your suggestions for how he/she can improve this?
Punctuality	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Invoices clients on a timely basis.
Starts meetings on time.
Starts the workday when scheduled.
Maintains an efficient schedule of activities.
Avoids making personal phone calls during working hours.
If were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?
Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets an example for others to follow
Delegate tasks effectively
Takes responsibility for things that go wrong
Is ready to offer help
Keep staff informed about what is happening in the company
If were to make improvements in Management, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Follows-up and takes action when goals are not met to ensure better results in the future.
Completes work to given time frame and to budget
Systematically works to improve the organization
Completes work to a high technical standard
Demonstrates a well-organized and timely approach to achieve desired results
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Maintains strong relationships with clients.
Ensures client commitments and requirements are met or exceeded
Looks for opportunities that have a positive impact on Clients.
Forms strong client relationships
Satisfies client needs.
If were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
If were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Is sincerely interested in the suggestions of co-workers
Finds opportunities to recognize others.
Offers recognition in a timely manner.
Recognizes team members who offer a significant contribution to a project.
Reinforces and rewards employees for accomplishing necessary goals.
If were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Anticipates problems that may affect the department.
Effective in communicating with others within the organization.
Gets things done through the department.
Understands departmental policies and procedures.
Able to deal with sensitive issues with tact and professionalism.
If were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

40. What are 's greatest strengths demonstrated this year?
    
    
    
41. What are 's areas for development?
    
    
    
42. Please give any final comments or suggestions for 's assessment.