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. Avoids stating unclear or conflicting goals.
  1. Writes clear job descriptions for positions in the organization.
  1. Is clear about goals that need to be achieved.
  1. Clearly defines work objectives for employees.
  1. Uses appropriate grammar and tense in communications.
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. Conveys a sense of urgency about addressing problems and opportunities
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Completes work on time
  1. Motivates others to achieve or exceed goals
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. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Accurately perceives the emotional reactions of others.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to express themselves clearly.
  1. Is able to manage their own emotions.
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. Leads team to set goals, solve problems, and accomplish tasks.
  1. Able to influence others.
  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.
  1. Is a highly effective supervisor.
  1. Takes ownership and accountability for results
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. Makes good decisions for the department.
  1. Decides which short- and long-term goals should be created.
  1. Defines what constraints must be met for the decision making process.
  1. Performs a cost/benefit analysis before making a decision.
  1. Learns from previous bad decisions and rarely repeats them.
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. Helps the team maintain focus on the goals.
  1. Always willing to help coworkers to keep productions levels high.
  1. Sets priorities for tasks to be completed.
  1. Determines the objectives for the project.
  1. Achieves long and short-term goals.
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. Encourages me to take on greater responsibility.
  1. Establishes goals and objectives.
  1. Organizes and schedules events, activities, and resources.
  1. Communicates goals and objectives to employees.
  1. Effectively organizes resources and plans
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. Creates and implements training courses for new hires to ensure knowledge of regulations and policies.
  1. Develops and implements a compliance data recordkeeping system.
  1. Performs regulatory risk management to manage the risks of compliance (or non-compliance).
  1. Is aware of federal and local laws affecting employees.
  1. Observes, monitors and coordinates compliance activities.
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. Permits employees to take training to become more independent.
  1. Gives employees opportunities to demonstrate their skills.
  1. Encourages employees to take the initiative when responding to an issue.
  1. Ensures employees understand what is being assigned to them.
  1. Is confident in the abilities of employees assigned important tasks.
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. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Provides clear, motivating, and constructive feedback.
  1. Develops the skills and capabilities of others.
  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. Exchanges ideas, resources, plans, and technologies with colleagues.
  1. Forms strong relationships with customers.
  1. Leverages core competencies of partners to the benefit of both parties.
  1. Networks with others in the company to better understand the workflows and operational requirements.
  1. Partners with peers to obtain influence within the Company.
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. Can work effectively in an environment of uncertainty.
  1. Encourages risk taking for developing potential business opportunities.
  1. Balances risks and rewards when making decisions.
  1. Seeks and utilizes mentors to help guide professional development.
  1. Takes the initiative to complete tasks.
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.