Clarity - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Clarity	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Makes sure employees understand why they were given certain assignments.
Writes clear job descriptions for positions in the organization.
Clearly defines work objectives for employees.
Avoids stating unclear or conflicting goals.
Clarifies problems and their causes to help employees correct them.
Adjusts communication methods to the needs of the audience.
Seeks to reduce ambiguity in messaging and documents.
Is clear about goals that need to be achieved.
Avoids creating ambiguity or mixed messages.
If [Participant Name] were to make improvements in Clarity, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Communicates regularly with the department.
Willing to communicate issues and concerns to colleagues.
Discusses ideas and concepts with peers.
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Recaps action steps from meetings to ensure clarity and execution.
Faces the person when speaking or listening to engage in direct communication.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Monitors cues - verbal, nonverbal, and organizational - to adjust strategy in real time.
Convinces department employees of the soundness of a strategic plan.
Encourages employees to consider the merits of an unpopular change recently implemented.
Skilled in shaping the opinions of others.
Maintains strong convictions to convey the importance of their beliefs/values.
Models moral clarity by making decisions that reflect personal and organizational identity.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Actively seeks and incorporates feedback from various sources.
Sees feedback as an opportunity for growth.
Helps employees to thoroughly understand the feedback they receive, identifying key takeaways, and determining specific steps they can take to address any areas for improvement.
Selects an appropriate set of individuals (peers, subordinates, customers) to provide feedback through a 360-Feedback system.
Creates an atmosphere that supports and encourages dialogue, enabling employees to develop the necessary skills to effectively seek, provide, and receive feedback.
Proactively seeks input from diverse sources to ensure all perspectives are acknowledged and different viewpoints are taken into account.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
...Produce Quality
Effectively organizes resources and plans
Listens and responds to issues and problems
Works well in this position.
Effective in performing his/her job.
...Overall Performance
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Results Oriented	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Exceeds performance requirements.
Steps in to cover responsibilities during peak workloads or staff shortages.
Demonstrates gratitude and recognition for team contributions.
Excels in dynamic environments.
Adjusts plans based on performance trends, stakeholder feedback, or changing conditions.
Measures progress toward the goal.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Balances risks and rewards when making decisions.
Encourages risk taking for developing potential business opportunities.
Exhibits determination and passion in completion of goals.
Able to adapt the department to changing business demands and climate.
Takes the initiative to complete tasks.
Is comfortable operating in an environment of uncertainty.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.