Clarity - 360 Degree Feedback Survey Sample #9

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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.


Definite Strength Meets Standards Needs Development N/A
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Clarifies problems and their causes to help employees correct them.
  1. Attends to the important details of a job or task.
  1. Avoids creating ambiguity or mixed messages.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.


Definite Strength Meets Standards Needs Development N/A
  1. Creates a consistent process for prioritizing work.
  1. Is someone you can trust.
  1. Keeps supervisor informed of recent events.
  1. Acts like an owner when they make decisions.
  1. Takes responsibility for results.

Continual Improvement

Definite Strength Meets Standards Needs Development N/A
  1. Looks for ways to expand and learn new job skills.
  1. Open to the suggestions from others.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand current job responsibilities.


Definite Strength Meets Standards Needs Development N/A
  1. Allows subordinates to use their own methods and procedures.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Tells subordinates what to do, not how to do it.


Definite Strength Meets Standards Needs Development N/A
  1. Analyzes data and information from several sources and arrives at logical conclusions.
  1. Asks the "right" questions to size up or evaluate situations.
  1. Uses appropriate techniques to solve problems.
  1. Can effectively interpret and analyze data.
  1. Identifies the root cause of a problem.

Change Management

Definite Strength Meets Standards Needs Development N/A
  1. Works cooperatively with others to implement changes.
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Supports the Company's efforts to implement changes.
  1. Assists others in understanding changes to the organization.
  1. Addresses organizational and departmental resistance to changes.


Definite Strength Meets Standards Needs Development N/A
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Seeks information from others as needed.
  1. Knows how to produce high quality products/work.


Definite Strength Meets Standards Needs Development N/A
  1. Builds alliances between departments and teams.
  1. Maintains infrastructure to support partnerships and networks.
  1. Supports and encourages relationships that are created by diverse team members.
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.
  1. Creates the conditions for partnerships to grow and develop.


Definite Strength Meets Standards Needs Development N/A
  1. Respects the opinions of other employees.
  1. Able to see issues from others' perspectives.
  1. Helpful
  1. Works across boundaries within the organization.
  1. Supports the efforts of other employees in implementing solutions to problems.


Definite Strength Meets Standards Needs Development N/A
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Finds unique ways to go around barriers to success.
  1. Encourages risk taking for developing potential business opportunities.
  1. Able to adapt the department to changing business demands and climate.
  1. Has a strategic awareness on how to promote the organization.

Organizational Fluency

Definite Strength Meets Standards Needs Development N/A
  1. Understands departmental policies and procedures.
  1. Anticipates problems that may affect the department.
  1. Effective in communicating with others within the organization.
  1. Adept at navigating within the culture of the department.
  1. Gets things done through the department.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

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