Clarity - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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

• Avoids stating unclear or conflicting goals.
• Makes sure employees understand why they were given certain assignments.
• Attends to the important details of a job or task.
• Clearly explains responsibilities to individuals.
• 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

• Is visible and approachable.
• Open to the suggestions of others.
• Accepts the views of others.
• Considers other's opinion and suggestions.
• Shares past experiences with others as learning opportunities.

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

Comments:

Performance

• Works effectively in the department.
• Listens and responds to issues and problems
• Effectively organizes resources and plans
• Shown significant improvement in job performance.
• ...Overall Performance

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

Comments:

Results Oriented

• Achieves performance benchmarks.
• Has a strong result orientation.
• Views obstacles as opportunities to improve self.
• Strives to achieve high volume of output.
• Completes urgent tasks first.

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

Comments:

Entrepreneurship

• Encourages dynamic growth opportunities.
• Can work effectively in an environment of uncertainty.
• Is comfortable operating in an environment of uncertainty.
• Understands the processes and various stages of business development.
• 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.