HR-Survey > 360-Degree Feedback > Competency Model

Continual Learning - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Continual Improvement:
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



Continual Improvement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand and learn new job skills.
  1. Open to the suggestions from others.
  1. Promotes training and development opportunities to enhance job performance.
  1. Analyzes processes to determine areas for improvement.


Professional Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Contributing fully to the extent of their skills
  1. Seeks opportunities for continuous learning.
  1. Seeks opportunities for professional development.
  1. Allows employees to fully participate in employee training and professional development.


Initiative

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Anticipates what needs to be done and makes necessary preparations.
  1. Takes on extra projects after required work is completed.
  1. Takes the initiative to change the direction or course of events.
  1. Takes action to implement new changes in the policies and procedures.
  1. Looks to start work on new projects without waiting for direction from the manager.


Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Knows how to produce high quality products/work.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Seeks information from others as needed.


Managing Risk

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates a risk management strategy for the department.
  1. Performs a risk analysis as needed.
  1. Tracks risks in a project.
  1. Accurately perceives potential risks in the workplace and initiates preventative measures.
  1. Rewards innovative experiments to try new ideas.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Facilitates effective teamwork during periods of change.
  1. Creates a culture that fosters and values collaboration.
  1. Shares resources and information with the team.
  1. Facilitates good rapport between team members.
  1. Makes eye contact when listening to colleagues.



  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.