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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.

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.



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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. Uses appropriate grammar and tense in communications.
  1. Writes clear job descriptions for positions in the organization.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Avoids creating ambiguity or mixed messages.
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. Prioritizes tasks to ensure the most essential tasks are completed first.
  1. Develops a sense of urgency in all tasks.
  1. Coaches others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Seizes opportunities to engage in action on a project.
  1. Makes effective decisions, even when under pressure
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
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Exhibits this
Competency
  1. Is able to express themselves clearly.
  1. Able to understand others' points of view.
  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.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
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. Provides feedback that is specific, clear, and tied to observable behaviors.
  1. Takes an active interest in the success of others.
  1. Sets a positive example for others to follow.
  1. Influences others in a way that results in acceptance, agreement, or behavior change.
  1. Can persuade other peers and team members.
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. Regularly evaluates information before making important decisions.
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Approaches challenges from unconventional angles, revealing new paths forward.
  1. Applies creative reasoning in making decisions.
  1. Acts confidently in the absence of guidance.
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. Produces a high volume of work.
  1. Overcomes obstacles to continue working toward goals.
  1. Is a high achiever.
  1. Determines the objectives for the project.
  1. Sets priorities for tasks to be completed.
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Exhibits this
Competency
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Exhibits this
Competency
  1. Sets long-term and short-term goals.
  1. Effectively organizes resources and plans
  1. Assures [Company] principles are understood, employed & pursued.
  1. Works toward achieving established goals and objectives.
  1. Organizes and schedules events, activities, and resources.
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
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Competency
Always
Exhibits this
Competency
  1. Periodically assesses the effectiveness of regulatory/compliance programs.
  1. Keeps detailed records of compliance measures.
  1. Prepares and presents annual reports as required.
  1. Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
  1. Keeps informed of various regulations and procedures.
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. Listens to the ideas employees have for solving issues.
  1. Views others in the department as valued assets to be trained and employed.
  1. Delegates authority to employees and allows them to make their own decisions.
  1. Provides opportunities for employee development and growth.
  1. Creates opportunities for employees to exercise their independence.
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. Coaches and mentors employees to achieve excellence.
  1. Asks questions that lead to discovery, insight or action.
  1. Explores potential solutions with the employee.
  1. Shows employees where they need to develop
  1. Starts coaching sessions with a review of the employee's successes to set a positive tone.
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. Promotes awareness of interests in partnerships and networks.
  1. Engages with partners that offer complementary services and competencies.
  1. Seeks to avoid conflicts by clarifying problems early on and working quickly to resolve those issues.
  1. Regularly schedules coffee chats or informal meetups to deepen personal connections.
  1. Creates joint initiatives or projects that serve the common interests of all parties.
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. Encourages risk taking for developing potential business opportunities.
  1. Has a strategic awareness on how to promote the organization.
  1. Takes the initiative to complete tasks.
  1. Able to adapt the department to changing business demands and climate.
  1. Balances risks and rewards when making decisions.
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.