Clarity - 360 Degree Feedback Survey Sample #8

Instructions

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.



Please complete your response by .

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Clarity	Agree	Unsure	Disagree	N/A
Provides a clear vision for the future.
Communicates ideas and facts clearly and effectively in writing.
Is clear about the roles and duties of team members.
Clearly explains the vision and goals of the company.
Checks details thoroughly.
Flexibility	Agree	Unsure	Disagree	N/A
Is able to recover from setbacks.
Considers other solutions provided by employees.
Adapts the onboarding experience to meet the unique needs of each new employee.
Demonstrates the ability to think outside the box and adjust as needed.
Adapts to different settings, tasks, and challenges with ease.
Continual Learning	Agree	Unsure	Disagree	N/A
Pursues learning that will enhance job performance.
Builds on their strengths while addressing their weaknesses.
Participates in regular training offered.
Pursues self-improvement through continual learning.
Pursues professional development opportunities when they arise.
Attitude	Agree	Unsure	Disagree	N/A
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Treats all people fairly and with respect.
Contributes to a positive work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Managing Performance	Agree	Unsure	Disagree	N/A
Uses pre-established key benchmarks to measure performance.
Plans and sets work expectations.
Uses existing performance frameworks to define measures of performance.
Aligns individual and team goals with the organization's goals and objectives.
Participates in training as needed to improve job performance.
Goals	Agree	Unsure	Disagree	N/A
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Goal Setting
Establishes and documents goals and objectives.
Results Oriented	Agree	Unsure	Disagree	N/A
Adapts to disruptions in the supply chain to maintain production levels.
Has a positive attitude that encourages others to continue supporting the production goals.
Does not become distracted by non-issues or interruptions.
Determines the parts of the project that need completed first.
Sets priorities for tasks to be completed.
Objectives	Agree	Unsure	Disagree	N/A
Consistently provides me with timely feedback for improving my performance.
Communicates goals and objectives to employees.
Works toward achieving established goals and objectives.
Ability to establish realistic goals.
Able to organize work.
Recognition	Agree	Unsure	Disagree	N/A
Offers recognition in a timely manner.
Compliments other people when they do good work
Readily shares credit and gives others opportunity for visibility.
Says "thank you" to show appreciation for work of others.
Recognizes team members who offer a significant contribution to a project.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.