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

Feedback - 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Feedback, Attitude, Cultural Awareness, Project Management, Decision Making, Commitment To Result, Professional Development, Technical, Trustworthy, Co-worker Development, Vision
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Feedback

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is easy to approach with ideas and opinions.
  1. Accepts the views of others.
  1. Shares past experiences with others as learning opportunities.
  1. Seeks feedback to enhance performance.
  1. Looks to others for input.
Please feel free to provide any comments to help explain your answers?

Attitude

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
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Exhibits this
Competency
  1. Visibly supports and encourages diversity in style and background.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Is gracious and professional in their interactions with others.
  1. Treats all people fairly and with respect.
  1. Contributes to a positive and fun work environment.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Encourages a work environment where individual differences are valued.
  1. Recognizes individual and cultural differences.
  1. Seeks opportunities to learn about the other cultural backgrounds of colleagues.
  1. Respects the views offered by individuals with different cultural backgrounds.
  1. Is willing to include individuals with different cultural backgrounds on the team.
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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Exhibits this
Competency
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Exhibits this
Competency
  1. Communicates with the necessary stakeholders if the budget targets are missed.
  1. Estimates the duration for each phase of the project.
  1. Conducts a risk assessment for the project.
  1. Engages stakeholders and team members in open discussions.
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
Usually
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Competency
Always
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Competency
  1. Learns from previous bad decisions and rarely repeats them.
  1. Decides which short- and long-term goals should be created.
  1. Regularly evaluates information before making important decisions.
  1. Stays focused on the main objective when making decisions.
  1. Is able to make decisions quickly.
Please feel free to provide any comments to help explain your answers?

Commitment To Result

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Coordinates all department activities into a cohesive team effort.
  1. Encourages commitment in others to obtain results.
  1. Maintains persistence and dedication to achieving results.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Committed to the team.
Please feel free to provide any comments to help explain your answers?

Professional Development

Does Not
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Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Exhibits this
Competency
Always
Exhibits this
Competency
  1. Contributing fully to the extent of their skills
  1. Encourages employees to take courses relevant to their job.
  1. Seeks opportunities for professional development.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Quickly acquire and apply new knowledge and skills when needed
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Seeks information from others as needed.
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Knows how to produce high quality products/work.
  1. Demonstrates mastery of the technical competencies required in his/her work.
Please feel free to provide any comments to help explain your answers?

Trustworthy

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Works in a way that makes others want to work with her/him.
  1. Consistently keeps commitments.
  1. Is trustworthy; is someone I can trust.
  1. Builds and maintains the trust of others.
  1. Delivers on promises made.
Please feel free to provide any comments to help explain your answers?

Co-worker Development

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Provides ongoing feedback to co-workers on their development progress
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Works to identify root causes of performance problems
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Leads employees in new directions.
  1. Stays ahead of the curve and guides the team towards innovative solutions and strategic decisions.
  1. Shapes strategies that resonate with the department's shared vision.
  1. Formulates strategies that reflect a shared vision for the organization.
  1. Provides a detailed schedule that specifies key milestones and deadlines, guiding the organization step-by-step towards achieving its long-term goals and overall vision.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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