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

Achievement - 360 Degree Feedback Survey Sample #2





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

You have been selected to provide feedback on the employee listed above. 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 working with this employee over the last twelve months and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Achievement, Performance, Clarity, Client Focus, Persuasion and Influence, Co-worker Development, Creativity, Self Management, Leadership, Company, Fiscal Management
Sample Result Document:
Sample Results
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.

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


Achievement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. Inspires others to work with a sense of urgency.
  1. Successfully completed the orientation training program.
  1. Driven to complete goals despite obstacles that may arise.
  1. Driven to complete assignments on time.
What are your suggestions for how [Participant Name] can make improvements
in Achievement?

Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Effectively organizes resources and plans
  1. ...Produce Quality
  1. Sets a high standard for job performance.
  1. Effective in performing his/her job.
  1. Has great overall performance
What are your suggestions for how [Participant Name] can make improvements
in Performance?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Clarifies problems and their causes to help employees correct them.
  1. Clearly explains responsibilities to individuals.
  1. Checks details thoroughly.
  1. Seeks to reduce ambiguity in messaging and documents.
  1. Adjusts communication methods to the needs of the audience.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Promptly responds to clients.
  1. Is pro-active in dealing with clients and addressing their needs.
  1. Responds to feedback from clients.
  1. Understands what resources are needed to meet client needs.
  1. Regularly receives positive feedback from clients.
What are your suggestions for how [Participant Name] can make improvements
in Client Focus?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Has excellent influencing/negotiating skills.
  1. Ensures stakeholders are involved in the decision making process.
  1. Seeks to obtain consensus or compromise.
  1. Communicates effectively with others.
  1. Develops a good rapport with others.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Takes immediate action on poor performance
  1. Works to identify root causes of performance problems
  1. Provides ongoing feedback to co-workers on their development progress
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
What are your suggestions for how [Participant Name] can make improvements
in Co-worker Development?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is creative and inspirational.
  1. Conceives, implements and evaluates ideas.
  1. Is creative.
  1. Develops solutions to challenging problems.
  1. Inspires creativity in their team.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Consciously controls own negative emotions in order to keep team morale up.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Acts decisively in implementing decisions.
  1. Gives inspiring presentations or discussions.
  1. Leads team to set goals, solve problems, and accomplish tasks.
  1. Sets clear goals and objectives for subordinates.
  1. Demonstrates leadership and courage in critical situations.
What are your suggestions for how [Participant Name] can make improvements
in Leadership?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Attends [Company] gatherings and social events.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Follows existing procedures and processes.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Understands the use of [Company] products and services.
What are your suggestions for how [Participant Name] can make improvements
in Company?

Fiscal Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops budgets and plans for various programs and initiatives.
  1. Develops of the department's annual budget.
  1. Keeps excellent records for financial transparency.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Provides budgeting and accounting support to the Company.
What are your suggestions for how [Participant Name] can make improvements
in Fiscal Management?


  1. Strengths


  2. Areas for Development


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