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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.
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Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Attends to the important details of a job or task.
  1. Is clear about goals that need to be achieved.
  1. Maintains clarity in goals and objectives.
  1. Clarifies problems and their causes to help employees correct them.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
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. Expresses clear goals and objectives.
  1. Able to align manpower, design work, an allocate tasks to achieve goals.
  1. Leads team to set goals, solve problems, and accomplish tasks.
  1. Provides resources to enable individuals to develop professionally.
  1. Takes ownership and accountability for results
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. Functions well under stress, deadlines, and/or significant workloads.
  1. Aligns the department's goals with the goals of the organization.
  1. Maintains self-control when personally criticized.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Stays focused even when under pressure and stress.
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. Provides guidance and support to help employees achieve their goals.
  1. Encourages employees to achieve their full potential.
  1. Provides feedback referencing specific instances or examples of behaviors.
  1. Schedules follow up meetings if employee's performance is below average.
  1. Assigns tasks appropriately.
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. Develops a good rapport with others.
  1. Ensures stakeholders are involved in the decision making process.
  1. Attempts to persuade others rather than simply control them.
  1. Has excellent influencing/negotiating skills.
  1. Seeks to obtain consensus or compromise.
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. Determines which tasks are critical and which tasks are optional.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. Coordinates the work of a team by assigning tasks to other team members.
  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.
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. Assigns tasks that allow employees to use their critical thinking skills.
  1. Encourages employees to take the initiative when responding to an issue.
  1. Demonstrates confidence in the abilities of subordinates.
  1. Allows employees the opportunity to take time off when needed.
  1. Set clear goals for assignments.
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. Encourages individuals to modify their underlying work behaviors that may have contributed to the conflict.
  1. Able to persuade and influence others.
  1. Helps others to see perceptions that they have about an issue.
  1. Facilitates dialog between stakeholders.
  1. Helps employees to think through alternative ways to resolve conflict situations.
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. Prioritizes risks based on an understanding of their possible impact to the company.
  1. Describes and summarizes data.
  1. Understands complex issues and problems.
  1. Facilitates creativity and innovation in individuals by helping them understand different aspects of the business.
  1. Able to get department employees to accept new business workflows.
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.