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

Excellence - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Excellence:
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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. 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 as an employee over the last twelve months and the goals you 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 become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Excellence, Bias for Action, Leadership, Supervisory Skills, Persuasion and Influence, Decision Making, Innovation, Adaptability, Juggling Multiple Responsibilities, Technology Use/Management, Regulatory/Compliance, Client Focus, Teamwork, Strategic Focus
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.


Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You demonstrate the analytical skills to do your job.
  1. You are planful and organized.
  1. You take a lot of pride in your work.
  1. You produce high quality work.
What are your suggestions for how you can make improvements
in Excellence?

Bias for Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You complete a large volume of work.
  1. You encourage risk taking and experimentation to improve performance
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. You convey a sense of urgency about addressing problems and opportunities
What are your suggestions for how you can make improvements
in Bias for Action?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You focus team efforts on meeting the needs of the customers.
  1. You are a highly effective supervisor.
  1. You appear to trust own instincts and insights.
  1. You are more likely to recognize employees for good performance rather than to criticize them for a performance problem
What are your suggestions for how you can make improvements
in Leadership?

Supervisory Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You foster an environment that supports open communication.
  1. I use disciplinary measures with the intent to guide and improve behavior, rather than to seek retribution.
  1. You set clear expectations for acceptable performance.
  1. I use the team to its fullest capacity.
What are your suggestions for how you can make improvements
in Supervisory Skills?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are able to express own goals and needs.
  1. You seek to obtain consensus or compromise.
  1. You develop a good rapport with others.
  1. You communicate effectively with others.
What are your suggestions for how you can make improvements
in Persuasion and Influence?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You determine the constraints that may impact what decisions are acceptable.
  1. You are willing to consider information from other sources.
  1. I am open to listening to others who may have different ideas.
  1. You weigh the pros and cons of decisions.
What are your suggestions for how you can make improvements
in Decision Making?

Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You look beyond company for new ideas and innovative approaches.
  1. I identify the opportunities created by innovations.
  1. You challenge current procedures to develop other alternatives.
  1. You build upon the ideas and solutions of others.
What are your suggestions for how you can make improvements
in Innovation?

Adaptability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You recognize and implement changes to enhance efficiency and effectiveness.
  1. You adapt to changes in team membership.
  1. You are willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. You are able to adjust to changes as needed.
What are your suggestions for how you can make improvements
in Adaptability?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You create, use and maintain "To-do" lists.
  1. You can switch between tasks without reductions in productivity or focus.
  1. You plan and organize continuously while performing all other responsibilities and activities.
  1. You organize tasks for the most efficient order of completion.
What are your suggestions for how you can make improvements
in Juggling Multiple Responsibilities?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You support technical training and development of employees.
  1. You maximize the use of new technology to deliver products and services.
  1. You understand and are committed to implementing new technologies.
  1. You are proficient in the use of technical systems and processes.
What are your suggestions for how you can make improvements
in Technology Use/Management?

Regulatory/Compliance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I coordinate the work of other Business Managers to ensure all are in compliance with established standards and guidelines.
  1. You conduct in-house training sessions to promote awareness of regulations and compliance.
  1. I develop strategies to comply with established regulations.
  1. You perform audits regularly, or without notice, to ensure proper compliance with regulations.
What are your suggestions for how you can make improvements
in Regulatory/Compliance?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are aware of what the client wants to receive.
  1. You give feedback to the client regularly.
  1. I consistently meet client's needs.
  1. You set an example for excellent client relations.
What are your suggestions for how you can make improvements
in Client Focus?

Teamwork

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You let team members know when they have done well.
  1. I work with other team members to identify bottle necks in the production process.
  1. You coach team members to work toward a common goal.
  1. You actively participates as a team member
What are your suggestions for how you can make improvements
in Teamwork?

Strategic Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You strategically deploy resources to areas of the greatest need.
  1. You focus efforts on specific marketing strategies.
  1. You develop strategies to seek new opportunities.
  1. I develop high-level strategic planning models to identify opportunities to improve the company.
What are your suggestions for how you can make improvements
in Strategic Focus?


  1. Strengths


  2. Areas for Development


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