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

• Clarifies problems and their causes to help employees correct them.
• Seeks to reduce ambiguity in messaging and documents.
• Adjusts communication methods to the needs of the audience.
• Avoids creating ambiguity or mixed messages.
• Checks details thoroughly.

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

Comments:

Feedback

• Asks others for their ideas and opinions.
• Considers other's opinion and suggestions.
• Shares past experiences with others as learning opportunities.
• Is visible and approachable.
• Actively seeks feedback from others.

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

Comments:

Performance

• Listens and responds to issues and problems
• Shown significant improvement in job performance.
• Effectively organizes resources and plans
• ...Overall Performance
• Able to organize work.

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

Comments:

Results Oriented

• Makes changes to the plans if it will result in increased output.
• Has a positive attitude that encourages others to continue supporting the production goals.
• Willing to take on new assignments to help increase production.
• Helps the team maintain focus on the goals.
• Demonstrates the personal confidence to "stay the course," even when faced with difficulty

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

Comments:

Entrepreneurship

• Understands the processes and various stages of business development.
• Can work effectively in an environment of uncertainty.
• Takes the initiative to complete tasks.
• Encourages dynamic growth opportunities.
• Has a strategic awareness on how to promote the organization.

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.