Clarity - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Clarity:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions:

[Company] 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.

Sample Result Document:
Sample Results
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 . 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
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Clearly defines work objectives for employees.
  1. Communicates with clarity and efficiency.
  1. Avoids creating ambiguity or mixed messages.
  1. Clearly explains responsibilities to individuals.
  1. Provides a clear vision for the future.
If [Participant Name] 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
  1. Arrives to meetings on time.
  1. Starts the workday when scheduled.
  1. Maintains an efficient schedule of activities.
  1. Starts meetings on time.
  1. Responds to requests for information in a timely manner.
  1. Invoices clients on a timely basis.
If [Participant Name] 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
  1. Takes responsibility for things that go wrong
  1. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
  1. Is ready to offer help
  1. Makes you feel enthusiastic about your work
If [Participant Name] 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
  1. Increased customer satisfaction scores for the quarter.
  1. Reduces staff turnover.
  1. Demonstrates improvement in performance.
  1. Driven to complete goals despite obstacles that may arise.
  1. Completes work to a high technical standard
  1. Sets performance metrics to measure achievement or attainment of goals.
If [Participant Name] 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
  1. Understands the needs of the client.
  1. Accepts responsibility for ensuring client satisfaction.
  1. Makes client's needs a top priority.
  1. Creates innovative solutions for the clients.
  1. Ensures commitments made to clients are completed to the client's satisfaction.
  1. Views client satisfaction as an everyday priority.
If [Participant Name] 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
  1. Provides access to development resources for co-workers
  1. Works to identify root causes of performance problems
  1. Monitors and assesses the performance levels of individuals and team, measuring them against targets
  1. Takes immediate action on poor performance
  1. Provides ongoing feedback to co-workers on their development progress
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
If [Participant Name] 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
  1. Compliments other people when they do good work
  1. Lets employees know when they have done well
  1. Recognizes the abilities and skills of self and others
  1. Is sincerely interested in the suggestions of co-workers
  1. Recognizes individuals for a specific outstanding achievement.
  1. Recognizes team members who offer a significant contribution to a project.
If [Participant Name] 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
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Effective in communicating with others within the organization.
  1. Able to use corporate politics to advance department objectives.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Understands departmental policies and procedures.
  1. Anticipates problems that may affect the department.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.