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

• Provides a clear vision for the future.
• Communicates with clarity and efficiency.
• Makes sure employees understand why they were given certain assignments.
• Clarifies problems and their causes to help employees correct them.
• Adjusts communication methods to the needs of the audience.

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

Accountability

• Develops goals and establishes objective measures of success.
• Takes ownership of mistakes and learns from them.
• Keeps supervisor informed of recent events.
• Encourages employees to take on greater responsibilities.
• Tackles issues head on and finds solutions.

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

Innovation

• Encourages open communication to ensure that all proposals are considered.
• Implements best practices within the department.
• Suggests new ideas at meetings.
• Searches for opportunities and innovative ways to improve the organization.
• Offers constructive improvements to existing systems.

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

Trustworthy

• Is trustworthy; is someone I can trust.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Communicates an understanding of the other person's interests, needs and concerns.
• Demonstrates congruence between statements and actions.
• Works in a way that makes others want to work with her/him.

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

Vision

• Leads employees in new directions.
• Communicates a vision of where the Company needs to be in the future.
• Creates a positive vision of the future for the Company.
• Creates a common vision for others.
• 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.