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HR-Survey > 360-Degree Feedback > Competency Model > Engagement

Engagement- 360 Degree Feedback Survey Sample #2





Surveys Measuring Engagement:
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:
Engagement, Accountability, Integrity, Attitude, Decision Making, Clarity, Objectives, Customer Focus, Company
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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Engagement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Work well with other people in the department.
  1. Enables employees to give suggestions for improving the department.
  1. Goes the extra mile to finish work.
  1. Is enthusiastic about getting involved in different aspects of the business.
  1. Understands how their job contributes to the bottom line.
What are your suggestions for how [Participant Name] can make improvements
in Engagement?

Accountability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
  1. Takes responsibility for results.
  1. Acknowledges errors and takes the steps necessary to rectify them.
  1. Shows up for work on time.
  1. Maintains honesty and transparency in all communications.
What are your suggestions for how [Participant Name] can make improvements
in Accountability?

Integrity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Implements checks and balances to help ensure integrity of operations.
  1. Maintains composure and does not react rudely when confronted with rude behavior to show self-control, emotional maturity, and integrity.
  1. Remains true to core values and principles, demonstrating respect and self-control even in challenging situations.
  1. Is deeply committed to making decisions that benefit the department and organization overall.
  1. Builds and maintains trust and good working relationships.
What are your suggestions for how [Participant Name] can make improvements
in Integrity?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Remains curious and adaptable, welcoming unfamiliar challenges with optimism.
  1. Actively seeks insight from colleagues at all levels and backgrounds.
  1. Highlights progress and effort, even if outcomes are still emerging.
  1. Approaches setbacks with a positive attitude.
  1. Adds creative flair or thoughtful touches to deliverables, demonstrating pride and joy in the work itself.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Views the long and short-term impact of decisions.
  1. Identifies which factors can be adjusted and which must remain constant to guide viable decision paths.
  1. Systematically gathers, analyzes, and interprets information from a variety of sources
  1. Questions entrenched beliefs or norms that may limit creativity or hinder progress.
  1. Is able to make decisions quickly.
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Uses appropriate grammar and tense in communications.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Is clear about goals that need to be achieved.
  1. Clearly explains the vision and goals of the company.
  1. Makes sure employees understand why they were given certain assignments.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Objectives

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Able to organize work.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Effectively organizes resources and plans
  1. Communicates goals and objectives to employees.
  1. Works toward achieving established goals and objectives.
What are your suggestions for how [Participant Name] can make improvements
in Objectives?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Anticipates potential obstacles to meeting customer needs.
  1. Accepts responsibility for ensuring customer satisfaction.
  1. Fulfills commitments made to customers.
  1. Is committed to resolving customer issues in a positive way.
  1. Creates an environment that enables customers to receive excellent service.
What are your suggestions for how [Participant Name] can make improvements
in Customer Focus?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Makes sure the work environment is safe and easy to work in.
  1. Subordinates personal or immediate department goals to overall needs of [Company].
  1. Provides employees the space and tools needed to stay focused.
  1. Empowers employees to participate in volunteer efforts and community service programs.
  1. Impresses upon others the important aspects of [Company].
What are your suggestions for how [Participant Name] can make improvements
in Company?


  1. Strengths


  2. Areas for Development


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