HR-Survey > 360-Degree Feedback > Competency Model

Company- 360 Degree Feedback Survey Sample #8





Questionnaires 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

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.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Company

Agree Unsure Disagree N/A
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Impresses upon others the important aspects of [Company].
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Follows existing procedures and processes.


Strategic Focus

Agree Unsure Disagree N/A
  1. Lets employees know how their roles contribute toward the achievement of strategic company objectives.
  1. Understands the importance of developing strategic capabilities.
  1. Analyzes the environment to develop strategies to achieve competitive advantage in the marketplace.
  1. Identifies and addresses strategic risks impacting operations.
  1. Determines the best strategy for achieving elevated levels of performance.


Bias for Action

Agree Unsure Disagree N/A
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Completes work on time
  1. Displays high energy and enthusiasm on consistent basis.


Continual Learning

Agree Unsure Disagree N/A
  1. Sets relevant learning objectives and goals.
  1. Builds on their strengths while addressing their weaknesses.
  1. Takes the initiative to learn new skills.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Views setbacks as opportunities to learn from.


Attitude

Agree Unsure Disagree N/A
  1. Contributes to a positive work environment.
  1. Treats all people fairly and with respect.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Visibly supports and encourages diversity in style and background.


Persuasion and Influence

Agree Unsure Disagree N/A
  1. Has excellent influencing/negotiating skills.
  1. Persuades others to consider alternative points of view.
  1. Able to express own goals and needs.
  1. Develops a good rapport with others.
  1. Communicates effectively with others.


Managing Risk

Agree Unsure Disagree N/A
  1. Ensures that any risky decisions taken are based on informed decision making.
  1. Works effectively to mitigate risks.
  1. Establishes good controls over the process to better manage risks.
  1. Identifies the most significant risks from business operations.
  1. Designs risk management activities that support the success of the company.


Co-worker Development

Agree Unsure Disagree N/A
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Takes immediate action on poor performance
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Works to identify root causes of performance problems


Recognition

Agree Unsure Disagree N/A
  1. Makes people around them feel appreciated and valued.
  1. Recognizes individuals for a specific outstanding achievement.
  1. Finds opportunities to recognize others.
  1. Lets employees know when they have done well
  1. Is sincerely interested in the suggestions of co-workers



  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.