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

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. Seeks to reduce ambiguity in messaging and documents.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Checks details thoroughly.
  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. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Completes work on time
  1. Motivates others to achieve or exceed goals
  1. Encourages risk taking and experimentation to improve performance
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. Is able to manage their own emotions.
  1. Able to understand others' points of view.
  1. Accurately perceives the emotional reactions of others.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
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. Guides decision-making by coaching, counseling and rewarding.
  1. Effectively leads others.
  1. Is a highly effective supervisor.
  1. Highly effective supervisor.
  1. Recognizes individual and team accomplishments and reward them appropriately.
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. Effectively chooses appropriate courses of action.
  1. Defines what constraints must be met for the decision making process.
  1. Receptive to new ideas from others when making decisions.
  1. Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
  1. Determines the costs and potential benefits of 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. Works hard despite obstacles that impede progress.
  1. Pursues performance benchmarks despite obstacles and setbacks.
  1. Promptly and efficiently completes assigned tasks.
  1. Completes work on time.
  1. Always willing to help coworkers to keep productions levels high.
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
Always
Exhibits this
Competency
  1. Works toward achieving established goals and objectives.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Effectively organizes resources and plans
  1. Organizes and schedules events, activities, and resources.
  1. Communicates goals and objectives to employees.
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. Reviews operations and work flows to ensure compliance with standards.
  1. Addresses issues quickly before they develop into major problems.
  1. Performs regular compliance audits.
  1. Keeps up-to-date with legislation affecting employees.
  1. Explains regulations and procedures to others as required.
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. Encourages employees to make informed decisions based on their own judgment and reasoning.
  1. Assigns tasks that are within the skill levels of employees.
  1. Coordinates the knowledge, skills and resources of others to accomplish more in the department.
  1. Allows employees to take on more responsibilities.
  1. Trusts employees to complete tasks assigned.
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. Conducts regular performance appraisals and feedback.
  1. Addresses employee behavior problems effectively.
  1. Helps employees to maintain high personal standards.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Provides clear, motivating, and constructive feedback.
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. Develops key business contacts at other companies.
  1. Nurtures partnerships with key individuals in the industry to stay on top of the latest trends and best practices.
  1. Organizing team-building activities to strengthen bonds between colleagues.
  1. Develops alliances with colleagues at other companies.
  1. Strengthens the contacts with other departments.
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. Has a strategic awareness on how to promote the organization.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Able to adapt the department to changing business demands and climate.
  1. Encourages risk taking for developing potential business opportunities.
  1. Understands the processes and various stages of business development.
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.