Clarity - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

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.

Clarity

• Writes clear job descriptions for positions in the organization.
• Adjusts communication methods to the needs of the audience.
• Checks details thoroughly.
• Clearly defines work objectives for employees.
• Uses appropriate grammar and tense in communications.

If [Participant Name] were to make improvements in Clarity, what are your suggestions for how he/she can improve this?

Accountability

• Holds employees accountable for meeting performance benchmarks.
• Accepts personal responsibility for their actions.
• Accepts personal responsibility for the timeliness of work.
• Continues to work diligently on a problem despite setbacks.
• Holds employees accountable through regular performance reviews.

If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?

Innovation

• Fosters a creative and innovative work environment.
• Analyzes current procedures and identifies opportunities for improvement.
• Takes risks to advance important ideas.
• Develops new products and services.
• Searches for opportunities and innovative ways to improve the organization.

If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?

Trustworthy

• Is a person you can trust.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Delivers on promises made.
• Demonstrates a sense of responsibility and commitment to public trust.
• Demonstrates congruence between statements and actions.

If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Vision

• Clearly articulates a vision for his/her work and inspires others to support it
• Shapes the department's vision into actionable goals.
• Communicates the vision and strategy of [Company]
• Focuses subordinates' work on critical aspects of the vision.
• Guides employees to prioritize crucial components of the vision.

If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.