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

Action - 360 Degree Feedback Survey Sample #13





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 for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

Competencies Included:
Action, Professional Development, Leadership, Objectives, Trustworthy, Client Focus, Fiscal Management
When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Action

 Strongly
Disagree		 Disagree Agree Strongly
Agree
  1. Assigns tasks to individuals who are most able to perform them.
  1. Conducts critical-incident review immediately after the event.
  1. Immediately develops alternatives and solutions when presented with a problem or issue.
  1. Establishes the tasks and direction for the team.
  1. Gets the job done.


Professional Development

 Strongly
Disagree		 Disagree Agree Strongly
Agree
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Keep themselves up-to-date of technical/professional issues
  1. Seeks opportunities for continuous learning.
  1. Encourages employees to take courses relevant to their job.
  1. Allows employees to fully participate in employee training and professional development.


Leadership

 Strongly
Disagree		 Disagree Agree Strongly
Agree
  1. Demonstrates leadership and courage in critical situations.
  1. Gives inspiring presentations or discussions.
  1. Sits down regularly with employees to review their job performance.
  1. Leads team to set goals, solve problems, and accomplish tasks.
  1. Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.


Objectives

 Strongly
Disagree		 Disagree Agree Strongly
Agree
  1. Ability to establish realistic goals.
  1. Communicates goals and objectives to employees.
  1. Works toward achieving established goals and objectives.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Encourages me to take on greater responsibility.


Trustworthy

 Strongly
Disagree		 Disagree Agree Strongly
Agree
  1. Delivers on promises made.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Works in a way that makes others want to work with her/him.
  1. Takes ownership, delivers on commitments
  1. Builds and maintains the trust of others.


Client Focus

 Strongly
Disagree		 Disagree Agree Strongly
Agree
  1. Creates customized solutions for the client.
  1. Sets an example for excellent client relations.
  1. Documents client interactions.
  1. Prioritizes client issues based on urgency.
  1. Provides excellent service to clients.


Fiscal Management

 Strongly
Disagree		 Disagree Agree Strongly
Agree
  1. Keeps excellent records for financial transparency.
  1. Develops of the department's annual budget.
  1. Monitors expenses and verifies the need for items purchased.
  1. Provides budgeting and accounting support to the Company.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.



  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


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







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