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

Action - 360 Degree Feedback Survey Sample #3





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; floating anchors)
Survey 14 (4-point scale; N/A)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Action, Establishing Focus/Direction, Supervisory Skills, Initiative, Managing Risk, Regulatory/Compliance, Co-worker Development, Others, Organizational Fluency
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I persist in work despite obstacles encountered.
  1. I make decisions confidently and stand by them.
  1. I effectively handle multiple complex issues simultaneously.
  1. I overcome obstacles that may impede progress on a task.
  1. You take advantage of opportunities to move the organization forward.
Please feel free to provide any comments to help explain your answers?

Establishing Focus/Direction

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You function well under stress, deadlines, and/or significant workloads.
  1. You help guide employees with prioritizing tasks.
  1. You align the department's goals with the goals of the organization.
  1. You make sure that employees understand and identify with the team's mission.
  1. You make sure that employees understand how their work relates to organizational goals.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I am sought after for advice in a variety of situations.
  1. I am clear about the expectations that employees will be held accountable for.
  1. I successfully mediate conflicts between employees.
  1. I decide the order that tasks need to be completed.
  1. I provide feedback that is aligned with performance expectations.
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are proactive when preparing for potential problems or critical events.
  1. I immediately work on solving problems.
  1. You act with urgency when time is limited.
  1. I expand the offerings of the department by working evenings and weekends.
  1. You take action to establish clear and concise deadlines for tasks to be completed.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I determine if the level of risk is tolerable.
  1. I am responsible for regulatory, strategic, operational and project risk management.
  1. I establish good controls over the process to better manage risks.
  1. You prioritize the risks to determine the most pressing needs.
  1. You monitor the effectiveness of risk management strategies.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I review operations and work flows to ensure compliance with standards.
  1. I implement internal control processes to detect misconduct or patterns of illegal transactions.
  1. You offer training to employees to ensure they comply with regulations.
  1. I develop strategies to comply with established regulations.
  1. I ensure the company is in compliance with all laws regarding the production and transportation of product.
Please feel free to provide any comments to help explain your answers?

Co-worker Development

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You work to identify root causes of performance problems
  1. You take immediate action on poor performance
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You set and clearly communicate expectations, performance goals, and measurements to others
Please feel free to provide any comments to help explain your answers?

Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You work effectively with people from other departments.
  1. You are able to see issues from others' perspectives.
  1. You work across boundaries within the organization.
  1. You treat others with respect and dignity.
  1. You constructively receive criticism and suggestions from others.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are effective in communicating with others within the organization.
  1. You understand the current organizational culture.
  1. You are able to use corporate politics to advance department objectives.
  1. You get things done through the department.
  1. You are able to explain departmental policies and procedures to others.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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