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

Feedback - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Feedback:
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

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:
Feedback, Leadership, Persuasion and Influence, Creativity, Self Management, Passion To Learn, Delegation, Clarity, Company, Fiscal Management
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.


Feedback

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is easy to approach with ideas and opinions.
  1. Looks to others for input.
  1. Asks others for their ideas and opinions.
  1. Considers other's opinion and suggestions.
  1. Accepts the views of others.
What are your suggestions for how [Participant Name] can make improvements
in Feedback?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Effectively leads others.
  1. Motivates and challenges employees to attain a shared vision.
  1. Acts decisively in implementing decisions.
  1. Able to align manpower, design work, an allocate tasks to achieve goals.
  1. Expresses clear goals and objectives.
What are your suggestions for how [Participant Name] can make improvements
in Leadership?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understanding what others need.
  1. Seeks to obtain consensus or compromise.
  1. Able to express own goals and needs.
  1. Communicates effectively with others.
  1. Attempts to persuade others rather than simply control them.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is creative and inspirational.
  1. Is creative.
  1. Adds value to the department/organization.
  1. Inspires creativity in their team.
  1. Develops solutions to challenging problems.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Steps away from a situation to process appropriate response.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Passion To Learn

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Takes advantage of training opportunities when they arise.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Is open to feedback from others.
  1. Stays up-to-date on emerging technologies.
  1. Inspires others to learn new things.
What are your suggestions for how [Participant Name] can make improvements
in Passion To Learn?

Delegation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Clearly defines duties and tasks to be completed.
  1. Assigns tasks to create learning opportunities for the employees.
What are your suggestions for how [Participant Name] can make improvements
in Delegation?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Provides a clear vision for the future.
  1. Checks details thoroughly.
  1. Clarifies problems and their causes to help employees correct them.
  1. Maintains clarity in goals and objectives.
  1. Writes clear job descriptions for positions in the organization.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Impresses upon others the important aspects of [Company].
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands the use of [Company] products and services.
  1. Understands the "basics" as to how [Company] functions/operates.
What are your suggestions for how [Participant Name] can make improvements
in Company?

Fiscal Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Keeps excellent records for financial transparency.
  1. Monitors expenses and verifies the need for items purchased.
  1. Provides budgeting and accounting support to the Company.
  1. Develops of the department's annual budget.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
What are your suggestions for how [Participant Name] can make improvements
in Fiscal Management?


  1. Strengths


  2. Areas for Development


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