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.

Edit this Survey

Would you like to edit this survey? Click here to begin.

Clarity

• Communicates with clarity and efficiency.
• Makes sure employees understand why they were given certain assignments.
• Checks details thoroughly.
• Maintains clarity in goals and objectives.
• Clearly explains responsibilities to individuals.

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

Comments:

Feedback

• Views feedback as an opportunity for growth.
• Follows up with the manager to confirm progress or ask for further input.
• Considers other's opinions and suggestions.
• Avoids becoming defensive or taking feedback personally, understanding that the purpose of feedback is to improve performance or behavior.
• Completes assessment forms in a timely manner.

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

Comments:

Performance

• Sets a high standard for job performance.
• ...Produce Quality
• Effective in performing his/her job.
• ...Overall Performance
• Works effectively in the department.

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

Comments:

Results Oriented

• Keeps track of progress toward the results.
• clearly defines roles and expectations.
• Recognizes the problem that needs to be solved.
• Achieves performance benchmarks.
• Concentrates efforts on the most urgent needs.

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

Comments:

Entrepreneurship

• Able to adapt the department to changing business demands and climate.
• Understands the processes and various stages of business development.
• Encourages risk taking for developing potential business opportunities.
• Balances risks and rewards when making decisions.
• Takes the initiative to complete tasks.

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.