HR-Survey > 360-Degree Feedback > Competency Model

Collaboration- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Surveys Measuring Collaboration:
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)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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 by .

Thank you for your participation in the survey.

Management Team





Collaboration

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates an environment where others feel comfortable sharing knowledge and information.
  1. Works to get buy-in of individuals based on common good of business.
  1. Builds consensus among team members.
  1. Maintains strong relationships with suppliers to ensure quality standards are met.
  1. Builds relationships with suppliers to improve communications and reduce misunderstandings and delays.
  1. Is comfortable working with employees from different departments/divisions.
  1. Works with others to share knowledge and information.


Professional Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  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.
  1. Keep themselves up-to-date of technical/professional issues
  1. Contributing fully to the extent of their skills
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Seeks opportunities for professional development.


Managing Performance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Rewards individuals who show imagination in developing creative solutions to problems.
  1. Sets performance expectations that are clear, specific and concise.
  1. Determines the Objectives and Key Results (OKRs) needed for the position.
  1. Addresses performance issues as soon as possible.
  1. Acknowledges employee contributions that support the bottom line.
  1. Conducts objectives and key results (OKR) assessments on a quarterly basis.
  1. Informs the employee of the required sales/production targets.


Juggling Multiple Responsibilities

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Spends the most time and effort on critical tasks first.
  1. Informs supervisor of the various tasks being worked on.
  1. Can switch focus between tasks as needed.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Assigns tasks based on skills of team members.
  1. Creates, uses and maintains "To-do" lists.


Managing Risk

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Performs monthly risk management assessments.
  1. Seeks to capitalize on risks.
  1. Reduces risk to a manageable level.
  1. Is concerned about process safety management.
  1. Ensures that any risky decisions taken are based on informed decision making.
  1. Seeks to increase safety in the workplace.
  1. Identifies the controls needed.


Strategic Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Maintains strategic focus by regularly reviewing the strategic plan and taking corrective actions as needed to stay on track.
  1. Monitors company performance and makes adjustments to the strategic plan as needed.
  1. Analyzes the environment to develop strategies to achieve competitive advantage in the marketplace.
  1. Strategically deploys resources to areas of the greatest need.
  1. Successfully implements a strategic plan.
  1. Identifies the role of each department in meeting the strategic goals.
  1. Effectively translates strategy into operational decisions.



  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.