HR-Survey > 360-Degree Feedback > Competency Model

Collaboration- 360 Degree Feedback Survey Sample #7





360 Feedback 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)
Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, 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.

Sample Result Document:
Sample Results
In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Collaboration

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Uses group decision making.
  1. Effectively works with others to create solutions to problems.
  1. Gains the cooperation of others to accomplish common goals and objectives.
  1. Utilizes digital tools to enhance collaborative efforts in creating process and policy documents.
  1. Identifies and organizes partnerships and alliances.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?

Punctuality

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Arrives to meetings on time.
  1. Invoices clients on a timely basis.
  1. Conducts appointments at scheduled start time.
  1. Maintains an efficient schedule of activities.
  1. Avoids making personal phone calls during working hours.
If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?

Performance

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Shown significant improvement in job performance.
  1. ...Overall Performance
  1. Effectively organizes resources and plans
  1. Able to organize work.
  1. Effective in performing his/her job.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Commitment To Result

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Able to focus on a task even when working alone.
  1. Maintains persistence and dedication to achieving results.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Encourages commitment in others to obtain results.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?

Teamwork

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Establishes good rapport with team members.
  1. Encourages collaboration with other departments.
  1. Listens carefully to other team members.
  1. Provides assistance and support to other team members when needed
  1. Comes across as a reliable, committed team member
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


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