HR-Survey > 360-Degree Feedback > Competency Model

Action - 360 Degree Feedback Survey Sample #9





360 Feedback Survey

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)
Self-Assessment Instructions

Thank you for agreeing to participate in this leadership training process. As part of this process, you will be completing the self-assessment questionnaire (below). As you respond, please draw on your work experiences over the past 12 months. Rate each item using the scale shown. Comments at the end can help you to explain your ratings. If you gave 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 you at the next leadership seminar to help guide your ongoing professional development.

Competencies Included:
Action, Performance, Flexibility, Emotional Intelligence, Communication Skills, Persuasion and Influence, Goals, Technology Use/Management, Partnering/Networking, Teamwork
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.

Action

 Definite Strength Meets Standards Needs Development N/A
  1. I do not procrastinate when there is a job to be done.
  1. I persist in work despite obstacles encountered.
  1. I establish the tasks and direction for the team.
  1. You drive and mobilizes others progress toward goals.
  1. You prepare equipment at the start of the shift.


Performance

 Definite Strength Meets Standards Needs Development N/A
  1. You shown significant improvement in job performance.
  1. You work effectively in the department.
  1. You effectively organize resources and plans
  1. You listen and respond to issues and problems
  1. You have great overall performance


Flexibility

 Definite Strength Meets Standards Needs Development N/A
  1. You face the unknown head-on, turning challenges into opportunities for growth and innovation.
  1. You perform more and varried processes on the production line.
  1. You respond to changing availability of supplies and resources.
  1. I anticipate differences to the procedures that may be needed due to a changing operating environment.
  1. You actively seek out new knowledge, staying updated with industry trends, and are open to changing the workflow based on the situation.


Emotional Intelligence

 Definite Strength Meets Standards Needs Development N/A
  1. You are able to manage your own emotions.
  1. You are able to express yourself clearly.
  1. You accurately perceive the emotional reactions of others.
  1. You are able to control your own emotions.
  1. You are attentive to emotional cues and interprets others' feelings correctly.


Communication Skills

 Definite Strength Meets Standards Needs Development N/A
  1. I communicate crucial information to others.
  1. You convey ideas confidently and succinctly.
  1. I listen effectively and respond to new information.
  1. You listen to others' points of view with an open mind
  1. I provide feedback in a helpful and respectful way, focusing on improvement.


Persuasion and Influence

 Definite Strength Meets Standards Needs Development N/A
  1. You persuade others to consider alternative points of view.
  1. You ensure stakeholders are involved in the decision making process.
  1. You develop a good rapport with others.
  1. You are able to express own goals and needs.
  1. You seek to obtain consensus or compromise.


Goals

 Definite Strength Meets Standards Needs Development N/A
  1. You make sure that team members have a clear idea of our group's goals.
  1. You achieve goals.
  1. You establish and document goals and objectives.
  1. You make sure that I have a clear idea of our group's goals.
  1. You set challenging stretch goals


Technology Use/Management

 Definite Strength Meets Standards Needs Development N/A
  1. You support technical training and development of employees.
  1. You use technology in decision making and problem solving.
  1. You understand and are committed to implementing new technologies.
  1. You adopt the implementation of new technology into the workplace.
  1. You support employee training and development initiatives regarding implementation of technology.


Partnering/Networking

 Definite Strength Meets Standards Needs Development N/A
  1. You create the conditions for partnerships to grow and develop.
  1. You seek to avoid conflicts by clarifying problems early on and working quickly to resolve those issues.
  1. I form strategic alliances with firms that specialize in areas that are complementary or help the company.
  1. You participate in conflict resolution to find mutually beneficial solutions.
  1. I proactively address potential conflicts by identifying and resolving problems swiftly.


Teamwork

 Definite Strength Meets Standards Needs Development N/A
  1. You make eye contact when listening to colleagues.
  1. I am committed to the success of the team.
  1. You are able to adjust to changes in the composition of the team.
  1. You relate to all kinds of people tactfully
  1. You actively and openly participates in team meetings.



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






  2. Strengths


  3. Areas for Development


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