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

• Avoids creating ambiguity or mixed messages.
• Communicates ideas and facts clearly and effectively in writing.
• Avoids stating unclear or conflicting goals.
• Maintains clarity in goals and objectives.
• Makes sure goals and objectives are clearly and thoroughly explained and understood.

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 employees.
• Holds team accountable to meeting goals.
• Takes ownership of mistakes and learns from them.
• Takes responsibility for results.
• Keeps their word and does what they say they will do.

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

Innovation

• Analyzes current procedures and identifies opportunities for improvement.
• Encourages open communication to ensure that all proposals are considered.
• Builds upon the ideas and solutions of others.
• Challenges current procedures to develop other alternatives.
• Suggests new ideas at meetings.

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.
• Demonstrates a sense of responsibility and commitment to public trust.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Consistently keeps commitments.
• Delivers on promises made.

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

Vision

• Understands the vision of the Company and promotes it ahead of any self-interests.
• Works to support the strategy of [Company]
• Persuades others to follow the Company's vision.
• Creates a positive vision of the future for the Company.
• Expresses the Company vision in a way that is easily understood and adopted by employees.

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.