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

• Communicates ideas and facts clearly and effectively in writing.
• Provides a clear vision for the future.
• Attends to the important details of a job or task.
• Makes sure employees understand why they were given certain assignments.
• Checks details thoroughly.

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

Accountability

• Defines roles, rights, and responsibilities of the team.
• Is prepared and on time for meetings and scheduled events.
• Consistently follows through on commitments and promises.
• Takes responsibility for errors in the production line.
• Can be counted on to do what they say they are going to do.

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

Innovation

• Creates a safe environment for idea-sharing.
• Builds upon the ideas and solutions of others.
• Finds creative ways to get things done with limited resources.
• Creates improved methods or solutions for meeting goals and objectives.
• Develops new products and services.

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

Trustworthy

• Delivers on promises made.
• Takes care to maintain confidential information.
• Works in a way that makes others want to work with her/him.
• Demonstrates congruence between statements and actions.
• Consistently keeps commitments.

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

Vision

• Behaves in a way that is consistent with business values & code of conduct
• Creates a positive vision of the future for the Company.
• Works to support the strategy of [Company]
• Develops action plans to align his/her work with the goals of the organization
• Persuades others to follow the Company's 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.