Clarity - 360 Degree Feedback Survey Sample #8

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)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Maintains clarity in goals and objectives.
  1. Checks details thoroughly.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Avoids creating ambiguity or mixed messages.
  1. Clarifies problems and their causes to help employees correct them.


Agree Unsure Disagree N/A
  1. Identifies new opportunities to achieve goals
  1. Open to the perspectives/viewpoints of others.
  1. Encourages others to adopt new procedures.
  1. Adapts to new organizational structures, policies, or procedures.
  1. Is open to alternative ways to accomplish goals

Continual Learning

Agree Unsure Disagree N/A
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Builds on their strengths while addressing their weaknesses.
  1. Shares best practices with others and learns from others.
  1. Sets relevant learning objectives and goals.
  1. Pursues self-improvement through continual learning.


Agree Unsure Disagree N/A
  1. Treats all people fairly and with respect.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Builds open and trusting relationships.
  1. Visibly supports and encourages diversity in style and background.
  1. Contributes to a positive and fun work environment.

Managing Performance

Agree Unsure Disagree N/A
  1. Provides employees with necessary resources to accomplish their goals.
  1. Makes sure commitments are understood and met.
  1. Measures performance against goals and objectives.
  1. Addresses grievances sooner rather than later.
  1. Uses timely and appropriate corrective/disciplinary actions.


Agree Unsure Disagree N/A
  1. Makes sure that I have a clear idea of our group's goals.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Achieves goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Goal Setting

Results Oriented

Agree Unsure Disagree N/A
  1. Inspires and motivates co-workers to be productive and energetic at work
  1. Does not become distracted by non-issues or interruptions.
  1. Directs team in prioritizing daily work activities
  1. Works toward achievement of goals even when confronted with obstacles.
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty


Agree Unsure Disagree N/A
  1. Communicates goals and objectives to employees.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Sets long-term and short-term goals.
  1. Establishes goals and objectives.
  1. Works toward achieving established goals and objectives.


Agree Unsure Disagree N/A
  1. Recognizes individuals for a specific outstanding achievement.
  1. Finds opportunities to recognize others.
  1. Compliments other people when they do good work
  1. Offers recognition in a timely manner.
  1. Lets employees know when they have done well

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.