HR-Survey > 360-Degree Feedback > Competency Model > Action

Action - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Action:
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)
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:
Action, Punctuality, Attitude, Management, Commitment To Result, Technical, Trustworthy, Conflict Management, Teamwork, Vision
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.


Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Fixes problems when they occur.
  1. Takes steps to prepare for the start of the project.
  1. Is decisive when making decisions.
  1. Displays high energy and enthusiasm on consistent basis.
  1. Takes action to respond to dissatisfied customer.
What are your suggestions for how [Participant Name] can make improvements
in Action?

Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
  1. Conducts appointments at scheduled start time.
  1. Starts the workday when scheduled.
  1. Avoids making personal phone calls during working hours.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Contributes to a positive and fun work environment.
  1. Treats all people fairly and with respect.
  1. Builds open and trusting relationships.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Is gracious and professional in their interactions with others.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Delegate tasks effectively
  1. Takes responsibility for things that go wrong
  1. Makes you feel enthusiastic about your work
  1. Is ready to offer help
  1. Sets an example for others to follow
What are your suggestions for how [Participant Name] can make improvements
in Management?

Commitment To Result

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Maintains persistence and dedication to achieving results.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Committed to the team.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
What are your suggestions for how [Participant Name] can make improvements
in Commitment To Result?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Knows how to produce high quality products/work.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Is knowledgeable of procedures or systems necessary for the job.
What are your suggestions for how [Participant Name] can make improvements
in Technical?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Delivers on promises made.
  1. Takes ownership, delivers on commitments
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Is a person you can trust.
  1. Works in a way that makes others want to work with her/him.
What are your suggestions for how [Participant Name] can make improvements
in Trustworthy?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Tries to understand others' point of view before making judgments
  1. Persuades individuals to alter their underlying work behaviors which may have led to the conflict.
  1. Shares competing viewpoints to expand viewpoints.
  1. Influences attitudes, beliefs, and behaviors in a way that fosters resolution and cooperation.
  1. Promotes employee engagement to reduce tensions and negativity, creating an environment where conflicts are easily managed.
What are your suggestions for how [Participant Name] can make improvements
in Conflict Management?

Teamwork

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Shares credit for accomplishments with team members
  1. Demonstrates a willingness to work with the team.
  1. Promotes open communication on the team.
  1. Supports open communication between team members.
  1. Actively and openly participates in team meetings.
What are your suggestions for how [Participant Name] can make improvements
in Teamwork?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Designs a forward-thinking strategy to achieve the department's growth goals.
  1. Understands the vision of the Company and promotes it ahead of any self-interests.
  1. Encourages employees to prioritize activities that contribute to the vision.
  1. Detects problems and creates solutions.
  1. Creates and executes a strategic vision that drives the company's growth forward.
What are your suggestions for how [Participant Name] can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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