Clarity - 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Clarity, Bias for Action, Emotional Intelligence, Leadership, Decision Making, Results Oriented, Objectives, Regulatory/Compliance, Empowering Others, Coaching, Partnering/Networking, Entrepreneurship
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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




Clarity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Clearly defines work objectives for employees.
  1. Clearly explains responsibilities to individuals.
  1. Is clear about the roles and duties of team members.
  1. Clearly explains the vision and goals of the company.
  1. Clarifies problems and their causes to help employees correct them.
Please feel free to provide any comments to help explain your answers?

Bias for Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Completes work on time
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Displays high energy and enthusiasm on consistent basis.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Able to understand others' points of view.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Accurately perceives the emotional reactions of others.
  1. Is able to manage their own emotions.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Please feel free to provide any comments to help explain your answers?

Leadership

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Gives inspiring presentations or discussions.
  1. Able to organize the work of others.
  1. Gives direct, constructive, and actionable feedback.
  1. Able to align manpower, design work, an allocate tasks to achieve goals.
  1. Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Maintains focus on the "big picture" when making decisions.
  1. Evaluates information before making a final decision.
  1. Decides which long-term goals should be met.
  1. Views the issues from multiple perspectives before making a decision.
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
Please feel free to provide any comments to help explain your answers?

Results Oriented

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Always willing to help coworkers to keep productions levels high.
  1. Measures progress toward the goal.
  1. Sets the objectives for the team.
  1. Sets a common goals for the team.
  1. Determined to complete tasks regardless of obstacles that may occur.
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Ability to establish realistic goals.
  1. Sets long-term and short-term goals.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Able to organize work.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Performs audits regularly, or without notice, to ensure proper compliance with regulations.
  1. Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
  1. Ensures regulations are followed as required.
  1. Explains regulations and procedures to others as required.
  1. Complies with regulatory requirements for the state.
Please feel free to provide any comments to help explain your answers?

Empowering Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Ensures employees understand what is being assigned to them.
  1. Allows employees to take ownership of their work.
  1. Allows employees to participate in the workload of the department.
  1. Allows for flexibility in the working hours.
  1. Recognizes the importance of a healthy work/life balance.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops the skills and capabilities of others.
  1. Conducts regular performance appraisals and feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Provides clear, motivating, and constructive feedback.
  1. Helps employees to maintain high personal standards.
Please feel free to provide any comments to help explain your answers?

Partnering/Networking

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Maintains infrastructure to support partnerships and networks.
  1. Seeks an understanding of diverse functions within the Company.
  1. Partners with peers to obtain influence within the Company.
  1. Creates value within the Company by building networks.
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.
Please feel free to provide any comments to help explain your answers?

Entrepreneurship

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Takes the initiative to complete tasks.
  1. Can work effectively in an environment of uncertainty.
  1. Is comfortable operating in an environment of uncertainty.
  1. Finds unique ways to go around barriers to success.
  1. Encourages risk taking for developing potential business opportunities.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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