Clarity - 360 Degree Feedback Survey Sample #2





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

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 and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Clarity, Leadership, Establishing Focus/Direction, Supervisory Skills, Persuasion and Influence, Juggling Multiple Responsibilities, Empowering Others, Conflict Management, Business Acumen
Sample Result Document:
Sample Results
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.

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


Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Adjusts communication methods to the needs of the audience.
  1. Avoids creating ambiguity or mixed messages.
  1. Clarifies problems and their causes to help employees correct them.
  1. Makes sure employees understand why they were given certain assignments.
  1. Clearly defines work objectives for employees.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Holds others accountable for their actions.
  1. Gives inspiring presentations or discussions.
  1. Motivates and challenges employees to attain a shared vision.
  1. Takes ownership and accountability for results
  1. Acts decisively in implementing decisions.
What are your suggestions for how [Participant Name] can make improvements
in Leadership?

Establishing Focus/Direction

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Makes sure that employees understand and identify with the team's mission.
  1. Sets appropriate goals for employees.
  1. Aligns the department's goals with the goals of the organization.
  1. Maintains self-control when personally criticized.
  1. Maintains focus when handling several problems or tasks simultaneously.
What are your suggestions for how [Participant Name] can make improvements
in Establishing Focus/Direction?

Supervisory Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Offers instructions and guidance to subordinates.
  1. Determines the training and development needs of employees and staff.
  1. Communicates on a daily basis with the team at the start of each shift.
  1. Coaches and mentors others to achieve higher performance levels.
  1. Empowers employees to perform the assigned tasks.
What are your suggestions for how [Participant Name] can make improvements
in Supervisory Skills?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understanding what others need.
  1. Has excellent influencing/negotiating skills.
  1. Seeks to obtain consensus or compromise.
  1. Attempts to persuade others rather than simply control them.
  1. Develops a good rapport with others.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Keeps track of multiple assignments and deadlines.
  1. Ranks the importance of tasks to make sure critical tasks are completed first.
What are your suggestions for how [Participant Name] can make improvements
in Juggling Multiple Responsibilities?

Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
  1. Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
  1. Allows for flexibility in the working hours.
  1. Gives new tasks to employees.
  1. Sets clear goals for others to accomplish.
What are your suggestions for how [Participant Name] can make improvements
in Empowering Others?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Examines differences and disagreements for creative and strategic resolutions.
  1. Identifies and takes steps to prevent potential confrontations.
  1. Identifies the root cause of the problems.
  1. Clearly expresses expectations to others.
  1. Attentively hears each person as they share their distinct viewpoints on the matter.
What are your suggestions for how [Participant Name] can make improvements
in Conflict Management?

Business Acumen

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Aware of regulations that impact our business.
  1. Periodically assesses the current market environment.
  1. Incorporates innovative approaches and being adaptable to change.
  1. Identifies potential regulatory risks and strategies to mitigate them.
  1. Understands business fundamentals and practices.
What are your suggestions for how [Participant Name] can make improvements
in Business Acumen?


  1. Strengths


  2. Areas for Development


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