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HR-Survey > 360-Degree Feedback > Competency Model > Achievement Skills

Achievement - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Achievement:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going 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.

Competencies Included:
Achievement, Interpersonal Skills, Coaching, Entrepreneurship, Action, Continual Learning, Adaptability, Leadership, Decision Making
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You hold others to high standards of achievement.
  1. I was able to increase production by 20 percent.
  1. You take calculated risks to achieve higher levels of performance.
  1. You complete work to given time frame and to budget
  1. You set challenging goals for the department.
  1. You work at a quick pace to complete a high volume of work.
  1. You allocate resources as needed to accomplish organizational goals.
  1. You systematically work to improve the organization
  1. Your work improves the quality of work on the production line.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I recognize when others do a good job.
  1. You recognize the contributions of others.
  1. You express ideas in an appropriate manner to overcome resistance, complaints, and frustration from others
  1. I give credit where credit is due.
  1. You display positive interactions.
  1. You are a reliable and dependable worker; you will do what you say you would do.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You help employees to maintain high personal standards.
  1. You address employee behavior problems effectively.
  1. You provide clear, motivating, and constructive feedback.
  1. You meet regularly with employees to coach them on areas that will enhance your performance
  1. You develop the skills and capabilities of others.
  1. You help employees to understand responsibilities, authority, and expectations.
If you were to make improvements in Coaching, what are your suggestions for how you can improve this?

Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You risk your time, effort, and reputation toward the completion of goals.
  1. You are motivated to work toward the realization of goals.
  1. You exhibit determination and passion in completion of goals.
  1. You work hard toward the realization of goals.
  1. You can work effectively in an environment of uncertainty.
  1. You identify issues that need to be addressed.
If you were to make improvements in Entrepreneurship, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I avoid "Analysis Paralysis" through action.
  1. You assign tasks to individuals who are most able to perform them.
  1. I am proactive rather than reactive in work.
  1. You fixe problems when they occur.
  1. I rapidly adapt to changes in the situation.
  1. I determine the best person for a specific task within the team.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are open to new ideas and concepts.
  1. You continue to ask questions about process and systems to further improve own knowledge.
  1. You take charge of your training and skills enhancement.
  1. You pursue self-improvement through continual learning.
  1. You pursue professional development opportunities when they arise.
  1. You expand your educational and future learning opportunities.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to step in and help co-workers when needed.
  1. You are able to adjust to changes as needed.
  1. You learn from personal experiences and/or mistakes.
  1. You are able to adjust to changing environments.
  1. You are aware of changes in the environment.
  1. You develop insights and apply innovative solutions to projects and problems.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You provide resources to enable individuals to develop professionally.
  1. You set clear goals and objectives for subordinates.
  1. You empower others to succeed within your jobs.
  1. You find creative ways to reward employees for hard work.
  1. You provide structure.
  1. You influence the decisions made at the Company.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You come across as confident, decisive, and resilient
  1. You are willing to change your strategy if new information arises.
  1. I am receptive to new ideas from others when making decisions.
  1. You act confidently in the absence of guidance.
  1. You effectively choose appropriate courses of action.
  1. You are aware of the impact of decisions and informs others about potential outcomes.
If you were to make improvements in Decision Making, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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