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

• Communicates with clarity and efficiency.
• Clarifies problems and their causes to help employees correct them.
• Writes clear job descriptions for positions in the organization.
• Clearly explains the vision and goals of the company.
• Is clear about the roles and duties of team members.

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

Comments:

Feedback

• Looks to others for input.
• Actively seeks feedback from others.
• Is easy to approach with ideas and opinions.
• Open to the suggestions of others.
• Is visible and approachable.

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

Comments:

Performance

• ...Produce Quality
• Able to organize work.
• Has great overall performance
• Effectively organizes resources and plans
• ...Overall Performance

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

Comments:

Results Oriented

• Determines the parts of the project that need completed first.
• Completed work exceeds standards.
• Holds self and others accountable for achieving results.
• Identifies the steps needed to accomplish the results.
• Makes changes to the plans if it will result in increased output.

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

Comments:

Entrepreneurship

• Maintains a high level of energy to respond to demands of the job.
• Encourages dynamic growth opportunities.
• Understands the processes and various stages of business development.
• Takes the initiative to complete tasks.
• Excellent at managing relationships with stakeholders.

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.