Clarity - 360 Degree Feedback Survey Sample #12

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.

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

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

Clarity

• Writes clear job descriptions for positions in the organization.
• Is clear about the roles and duties of team members.
• Communicates with clarity and efficiency.
• Avoids creating ambiguity or mixed messages.
• Clarifies problems and their causes to help employees correct them.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Feedback

• Actively seeks feedback from others.
• Considers other's opinion and suggestions.
• Seeks feedback to enhance performance.
• Asks others for their ideas and opinions.
• Is easy to approach with ideas and opinions.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Performance

• Effectively organizes resources and plans
• Effective in performing his/her job.
• Listens and responds to issues and problems
• Able to organize work.
• Works effectively in the department.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Results Oriented

• Does not become distracted by non-issues or interruptions.
• Stays focused on meeting the needs of customers.
• Inspires and motivates co-workers to be productive and energetic at work
• Provides clear expectations for employees.
• Works toward achievement of goals even when confronted with obstacles.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Entrepreneurship

• Devotes a certain amount of time and effort to developing new business opportunities.
• Able to adapt the department to changing business demands and climate.
• Understands the processes and various stages of business development.
• Can work effectively in an environment of uncertainty.
• Exhibits determination and passion in completion of goals.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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