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. Works with others to resolve issues facing the company.
  1. Is open to unique and creative ideas from others.
  1. Respects other group/team members.
  1. Works to get buy-in of individuals based on common good of business.
  1. Is a dependable partner in the group.
  1. Works with other experts to solve problems.
  1. Works with others to develop strategies to identify needs and priorities.


Professional Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Seeks opportunities for continuous learning.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Contributing fully to the extent of their skills
  1. Seeks opportunities for professional development.
  1. Encourages employees to take courses relevant to their job.
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Keep themselves up-to-date of technical/professional issues


Managing Performance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Conducts objectives and key results (OKR) assessments on a quarterly basis.
  1. Recognizes people who provide outstanding leadership in planning, organizing.
  1. Ensures employees understand their performance expectations.
  1. Ensures team members understand the department goals.
  1. Increases responsibilities for high performing individuals.
  1. Acknowledges employee contributions that support the bottom line.
  1. Ensures team members receive rewards for positive performance accomplishments.


Juggling Multiple Responsibilities

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Can easily switch between tasks when a critical incident requires attention.
  1. Determines which tasks are critical and which tasks are optional.
  1. Informs supervisor of the various tasks being worked on.
  1. Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
  1. Can switch between tasks without reductions in productivity or focus.
  1. Coordinates the work of a team by assigning tasks to other team members.
  1. Assesses current capabilities before committing to new requests from customers.


Managing Risk

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Recognizes that small changes may snowball into major events.
  1. Bases decisions on patterns found in fluid/changing information.
  1. Improves process safety where possible.
  1. Develops policies to address risk situations in the workplace.
  1. Is aware of process safety management.
  1. Is aware of the financial implications of certain risks.
  1. Accurately determines appropriate risk levels (i.e., levels of acceptable risk).


Strategic Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Able to identify internal strengths and weaknesses and the opportunities and threats that impact the company.
  1. Develops strategies to effectively use company resources and exploit potential opportunities.
  1. Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
  1. Ensures adherence to the strategy to sustain achievement of targeted levels of organizational performance.
  1. Understands how to grow the business and increase customers.
  1. Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
  1. Able to decline a poor strategy by proposing alternate strategies.



  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.