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HR-Survey > 360-Degree Feedback > Competency Model > Company Skills

Company- 360 Degree Feedback Survey Sample #2





Surveys Measuring Company:
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; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Competencies Included:
Company, Communication Skills, Self Management, Feedback, Delegation, Achievement, Technology Use/Management, Client Focus, Empowering Others, Others
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 between . The survey will only be available during these dates.
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Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Follows existing procedures and processes.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Understands the use of [Company] products and services.
  1. Impresses upon others the important aspects of [Company].
  1. Attends [Company] gatherings and social events.
What are your suggestions for how [Participant Name] can make improvements
in Company?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willing to accept feedback from others.
  1. Communicates crucial information to others.
  1. Willing to communicate issues and concerns to colleagues.
  1. Summarizes the question to verify comprehension.
  1. Informs supervisor about progress made on goals and objectives.
What are your suggestions for how [Participant Name] can make improvements
in Communication Skills?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Steps away from a situation to process appropriate response.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Feedback

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Shares past experiences with others as learning opportunities.
  1. Is easy to approach with ideas and opinions.
  1. Looks to others for input.
  1. Considers other's opinion and suggestions.
  1. Is visible and approachable.
What are your suggestions for how [Participant Name] can make improvements
in Feedback?

Delegation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Allows employees to decide how they wish to complete the tasks.
  1. Clearly defines duties and tasks to be completed.
  1. Tells subordinates what to do, not how to do it.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
What are your suggestions for how [Participant Name] can make improvements
in Delegation?

Achievement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Allocates resources as needed to accomplish organizational goals.
  1. Completed required training and certification.
  1. Completed training on the new equipment.
  1. Systematically works to improve the organization
  1. Reduced department expenses by 25 percent.
What are your suggestions for how [Participant Name] can make improvements
in Achievement?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands and is committed to implementing new technologies.
  1. Uses technology in decision making and problem solving.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Adopts the implementation of new technology into the workplace.
What are your suggestions for how [Participant Name] can make improvements
in Technology Use/Management?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands the needs of the client.
  1. Regularly receives positive feedback from clients.
  1. Is focused on improving client services.
  1. Helps others in responding to client needs.
  1. Responds to feedback from clients.
What are your suggestions for how [Participant Name] can make improvements
in Client Focus?

Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Views others in the department as valued assets to be trained and employed.
  1. Gives employees the freedom to set their own schedule.
  1. Assigns tasks that are within the skill levels of employees.
  1. Allows employees to organize their schedule to best accomplish the job.
  1. Fosters a sense of ownership and accountability for the process/product.
What are your suggestions for how [Participant Name] can make improvements
in Empowering Others?

Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Helpful
  1. Is able to see issues from others' perspectives.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Works across boundaries within the organization.
  1. Includes others in the decision making processes.
What are your suggestions for how [Participant Name] can make improvements
in Others?


  1. Strengths


  2. Areas for Development


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