HR-Survey > 360-Degree Feedback > Competency Model

Company- 360 Degree Feedback Survey Sample #7





360 Feedback Survey

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)
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 .

Company

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands the use of [Company] products and services.
  1. Follows existing procedures and processes.
  1. Impresses upon others the important aspects of [Company].
  1. Attends [Company] gatherings and social events.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?

Entrepreneurship

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Understands the processes and various stages of business development.
  1. Excellent at managing relationships with stakeholders.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Has a strategic awareness on how to promote the organization.
  1. Exhibits determination and passion in completion of goals.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

Flexibility

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Embraces change, values feedback, and is willing to experiment with different methods to find the most effective solutions.
  1. Open to the perspectives/viewpoints of others.
  1. Ability to cope with a variety of client needs.
  1. Capable of adapting workflows to accommodate new regulations or policies.
  1. Encourages others to adopt new procedures.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?

Integrity

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Demonstrates sincerity in actions with others.
  1. Fosters a high standard of ethics and integrity.
  1. Demonstrates honesty and truthfulness at all times.
  1. Maintains strong relationships with others.
  1. Protects the integrity and confidentiality of information
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Professional Development

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Encourages employees to take courses relevant to their job.
  1. Contributing fully to the extent of their skills
  1. Seeks opportunities for professional development.
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?

Analytical

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Implements data validation techniques and methods.
  1. Prioritizes various actions to be taken when solving a problem.
  1. Identifies the root cause of a problem.
  1. Identifies problems and issues needing resolution.
  1. Uses appropriate techniques to solve problems.
If [Participant Name] were to make improvements in Analytical, what are your suggestions for how he/she can improve this?

Problem Solving

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Actively seeks the root cause of a problem.
  1. Finds creative ways to get things done with limited resources.
  1. Understands the root causes of problems.
  1. Identifies and assesses all potential responses to a problem.
  1. Ability to solve problems at root cause rather than at symptom level.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?

Innovation

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Creates improved methods or solutions for meeting goals and objectives.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Implements best practices within the department.
  1. Takes risks to advance important ideas.
  1. Searches for opportunities and innovative ways to improve the organization.
If [Participant Name] were to make improvements in Innovation, 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.