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)
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.

Competencies Included:
Clarity, Punctuality, Management, Achievement, Client Focus, Co-worker Development, Recognition, Organizational Fluency
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. Writes clear job descriptions for positions in the organization.
  1. Clearly explains the vision and goals of the company.
  1. Maintains clarity in goals and objectives.
  1. Checks details thoroughly.
  1. Clearly explains responsibilities to individuals.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
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. Responds to requests for information in a timely manner.
  1. Maintains an efficient schedule of activities.
  1. Conducts appointments at scheduled start time.
  1. Invoices clients on a timely basis.
  1. Starts meetings on time.
  1. Starts the workday when scheduled.
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. Keep staff informed about what is happening in the company
  1. Is ready to offer help
  1. Delegate tasks effectively
  1. Sets an example for others to follow
  1. Takes responsibility for things that go wrong
  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. Driven to complete goals despite obstacles that may arise.
  1. Completed required training and certification.
  1. Takes calculated risks to achieve significant rewards.
  1. Demonstrates a well-organized and timely approach to achieve desired results
  1. Inspires others to work with a sense of urgency.
  1. Successfully completed the orientation training program.
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. Helps others in responding to client needs.
  1. Creates innovative solutions to meet client needs.
  1. Meets with clients on a regular basis.
  1. Is aware of what the client wants to receive.
  1. Keeps the client informed of all progress.
  1. Is competent in handling client cases.
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. Monitors and assesses the performance levels of individuals and team, measuring them against targets
  1. Takes immediate action on poor performance
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Provides access to development resources for co-workers
  1. Works to identify root causes of performance problems
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
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. Recognizes team members who offer a significant contribution to a project.
  1. Is sincerely interested in the suggestions of co-workers
  1. Says "thank you" to show appreciation for work of others.
  1. Compliments other people when they do good work
  1. Recognizes the abilities and skills of self and others
  1. Recognizes individuals for a specific outstanding achievement.
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. Anticipates problems that may affect the department.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Understands the current organizational culture.
  1. Able to use corporate politics to advance department objectives.
  1. Understands departmental policies and procedures.
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.