Clarity - 360 Degree Feedback Survey Sample #11

360 Feedback Survey

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)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Clarity mean?
It means that ...
  • You write clear job descriptions for positions in the organization.
  • You use appropriate grammar and tense in communications.
  • You communicate with clarity and efficiency.
  • You clarify problems and their causes to help employees correct them.
  • You make sure goals and objectives are clearly and thoroughly explained and understood.

To what extent does this person exhibit Clarity?
Select from one of the ratings below.

Professional Development

What does Professional Development mean?
It means that ...
  • You seek opportunities for continuous learning.
  • You keep yourself up-to-date of technical/professional issues
  • You are contributing fully to the extent of your skills
  • You seek opportunities for professional development.
  • You allow employees to fully participate in employee training and professional development.

To what extent does this person exhibit Professional Development?
Select from one of the ratings below.


What does Responsible mean?
It means that ...
  • You work in a way that makes others want to work with you.
  • You are a person others can trust.
  • You are responsible for setting the vision of the department.
  • Your behavior is ethical and honest.
  • You take personal responsibility for results.

To what extent does this person exhibit Responsible?
Select from one of the ratings below.


What does Teamwork mean?
It means that ...
  • You share credit for accomplishments with team members
  • You create a climate that encourages team participation.
  • You coach team on how to solve problems, plan, and meet organizational goals and objectives.
  • You carry your share of the workload
  • You apply knowledge of team behavior to help achieve organizational goals and objectives.

To what extent does this person exhibit Teamwork?
Select from one of the ratings below.

Time Management

What does Time Management mean?
It means that ...
  • You prioritize tasks to identify immediate and long-term objectives.
  • You use agendas when chairing or facilitating meetings.
  • You complete high-priority work within required timelines.
  • You avoid distractions in the workplace.
  • You set a good balance between work and family life.

To what extent does this person exhibit Time Management?
Select from one of the ratings below.

Areas for Development

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