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

• Makes sure goals and objectives are clearly and thoroughly explained and understood.
• Communicates ideas and facts clearly and effectively in writing.
• Maintains clarity in goals and objectives.
• Clarifies problems and their causes to help employees correct them.
• Avoids creating ambiguity or mixed messages.

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

Comments:

Feedback

• Shares past experiences with others as learning opportunities.
• Is visible and approachable.
• Open to the suggestions of others.
• Actively seeks feedback from others.
• Seeks feedback to enhance performance.

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

Comments:

Performance

• Effectively organizes resources and plans
• Works well in this position.
• ...Produce Quality
• Works effectively in the department.
• Able to organize work.

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

Comments:

Results Oriented

• Directs team in prioritizing daily work activities
• Works toward achievement of goals even when confronted with obstacles.
• Provides clear expectations for employees.
• Inspires and motivates co-workers to be productive and energetic at work
• Helps others when free-time is available.

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.
• Has a strategic awareness on how to promote the organization.
• Finds unique ways to go around barriers to success.
• Able to adapt the department to changing business demands and climate.
• Encourages dynamic growth opportunities.

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.