HR-Survey > 360-Degree Feedback > Competency Model > Empowering Others

Empowering Others- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Empowering Others:
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)
Survey 14 (4-point scale; N/A)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

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. 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 aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

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.

Competencies Included:
Empowering Others, Excellence, Integrity, Professional Development, Administrative Skill, Innovation, Commitment To Result, Safety, Trustworthy, Planning
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Empowering Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Encourages employees to think outside the box.
  1. Includes others in the decision making process.
  1. Gives new tasks to employees.
  1. Supports the decisions of others.
  1. Recognizes the contributions that others make to the department.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Takes a lot of pride in their work.
  1. Is planful and organized.
  1. Can be counted on to add value wherever they are involved.
  1. Produces high quality work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Fosters an environment built upon trust.
  1. Does what was promised.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Demonstrates honesty and truthfulness at all times.
  1. Accepts responsibility for mistakes.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Professional Development

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Keep themselves up-to-date of technical/professional issues
  1. Seeks opportunities for professional development.
  1. Contributing fully to the extent of their skills
  1. Seeks opportunities for continuous learning.
  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?

Administrative Skill

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Implements and uses performance measures.
  1. Has strong technical/computer skills.
  1. Enthusiastic about taking on challenging projects.
  1. Able to develop, justify and present a budget.
  1. High attention to detail.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Innovation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops innovative products or services.
  1. Sets company-wide innovation performance targets and goals.
  1. Creates innovative products or services.
  1. Generates innovative and practical ideas and approaches.
  1. Transforms raw ideas into actionable plans with a higher likelihood of successful implementation.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?

Commitment To Result

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Committed to the team.
  1. Takes immediate action toward goals.
  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. Able to focus on a task even when working alone.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?

Safety

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Mitigates hazards and safety issues that arise.
  1. Keeps accurate safety records.
  1. Creates accurate and effective measures of safety.
  1. Participates in safety training as applicable.
  1. Develops safety guidelines for the department.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is a person you can trust.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Works in a way that makes others want to work with her/him.
  1. Demonstrates a sense of responsibility and commitment to public trust.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Planning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops strategic plans for ensuring competitiveness in the marketplace.
  1. Prioritizes plans based on a cost/benefit analysis.
  1. Initiates the planning process by defining the scope of the project.
  1. Develops an effective plan to guide the project.
  1. Determines what supplies/equipment will be needed for the project.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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