Clarity - 360 Degree Feedback Survey Sample #13

Instructions

You have been selected to provide valuable feedback for the manager listed above. Your insights are an important part of [Participant]'s leadership development process. This tool is designed to gather broad and comprehensive feedback on the core competencies and role responsibilities that are crucial for the continuous success of our organization.

When responding to the assessment form, please consider your experiences working with this individual over the past six to twelve months. Reflect on specific instances, interactions, and overall performance that you have observed. Your responses will be combined with feedback from other colleagues to create a holistic view of the manager's strengths and areas for improvement. This collective feedback will be used to guide their ongoing professional development.

Please be candid and constructive in your comments, as they will be shared anonymously with the manager. Your feedback will be instrumental in helping them understand their impact on the team and the organization, and in identifying opportunities for growth. We appreciate your time and effort in contributing to this important process.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



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Clarity	Strongly Disagree	Disagree	Agree	Strongly Agree
Is clear about the roles and duties of team members.
Provides a clear vision for the future.
Clearly explains the vision and goals of the company.
Uses appropriate grammar and tense in communications.
Checks details thoroughly.
Clarifies problems and their causes to help employees correct them.
Maintains clarity in goals and objectives.
Writes clear job descriptions for positions in the organization.
Seeks to reduce ambiguity in messaging and documents.
Communication Skills	Strongly Disagree	Disagree	Agree	Strongly Agree
Listens to others' points of view with an open mind
Makes eye contact with the person they are speaking with.
Welcomes input and suggestions from others.
Provides the reasoning behind choices and actions.
Responds to questions with accurate and complete answers
Vision	Strongly Disagree	Disagree	Agree	Strongly Agree
Charts a bold course for the department's rapid evolution and expansion.
Creates a common vision for others.
Fosters an environment where the vision is not only understood but lived.
Articulates a vision for the department that is aligned with the division/company's vision.
Sets a schedule for achieving the organization's vision.
Continual Improvement	Strongly Disagree	Disagree	Agree	Strongly Agree
Looks for ways to expand and learn new job skills.
Fosters a culture of open communication and continuous improvement.
Looks for ways to expand current job responsibilities.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Promotes training and development opportunities to enhance job performance.
Persuasion and Influence	Strongly Disagree	Disagree	Agree	Strongly Agree
Demonstrates deep subject matter knowledge through clear, confident explanations that build trust.
Is an excellent spokesperson for the department/company.
Develops key messages and timing to maximize receptivity and impact across different stakeholders.
Assesses power dynamics and informal influencers to determine the most effective pathways to obtain buy-in.
Always provides specifics and facts to backup arguments.
Administrative Skill	Strongly Disagree	Disagree	Agree	Strongly Agree
Takes time to grasp the points being made, and ensures individuals feel heard.
Formats and produces a variety of business related documents/reports.
Organizes schedules, including departure and arrival times, check-in details, and reservation confirmations.
Performs basic logistics such as arranging transfers, shuttles, taxis, or rideshares, to and from airports or event locations.
Enters data as needed.
Safety	Strongly Disagree	Disagree	Agree	Strongly Agree
Works to implement corrective safety measures.
Develops a culture of safety.
Seeks to reduce the likelihood of accidents.
Points out behaviors in others that may be unsafe.
Develops safety guidelines for the department.
Coaching	Strongly Disagree	Disagree	Agree	Strongly Agree
Knows the capabilities and motivations of the individuals in the work group.
Empowers employees to take ownership of their growth and decisions.
Allocates sufficient time for coaching.
Understands the issues that the employee may be experiencing at work.
Addresses employee behavior problems effectively.

45. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
46. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.