Clarity - 360 Degree Feedback Survey Sample #11

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

What does Clarity mean?
It means that ...

• You attend to the important details of a job or task.
• You clearly define work objectives for employees.
• You provide a clear vision for the future.
• You avoid creating ambiguity or mixed messages.
• You clearly explain the vision and goals of the company.

To what extent does this person exhibit Clarity?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Professional Development

What does Professional Development mean?
It means that ...

• You allow employees to fully participate in employee training and professional development.
• You are contributing fully to the extent of your skills
• You keep yourself up-to-date of technical/professional issues
• You seek opportunities for continuous learning.
• You demonstrate enthusiasm and a willingness to learn new skills and knowledge

To what extent does this person exhibit Professional Development?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Responsible

What does Responsible mean?
It means that ...

• You are responsible for setting the vision of the department.
• Your behavior is ethical and honest.
• You act as a resource without removing individual responsibility.
• You complete assigned work tasks.
• You hold yourself accountable to goals / objectives

To what extent does this person exhibit Responsible?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Teamwork

What does Teamwork mean?
It means that ...

• I facilitate effective teamwork during periods of change.
• You willingly share your technical expertise
• I express appreciation for the work of other team members.
• You demonstrate an understanding of other team member's viewpoints.
• You actively participates in the work of teams; seek and listen to others' contributions

To what extent does this person exhibit Teamwork?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Time Management

What does Time Management mean?
It means that ...

• You stay undistracted by personal devices while on the clock.
• You are productive for the majority of time spent during the day.
• You anticipate problems and resolve them before they negatively impact the schedule.
• You tackle major issues head on to reduce the amount of time spent on them.
• I delegate simple tasks to employees so I can focus on more complex tasks.

To what extent does this person exhibit Time Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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