HR-Survey > 360-Degree Feedback > Competency Model

Goals - 360 Degree Feedback Survey Sample #6





360-Degree Assessment Survey

Questionnaires Measuring Goals:
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)
Dear Employee:

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.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
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.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

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





Goals

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Establishes and documents goals and objectives.
  1. Achieves goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Goal Setting


Results Oriented

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Keeps track of progress toward the results.
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same
  1. Willing to take on new assignments to help increase production.
  1. Plans the best course of action to achieve the goal.
  1. Completed work exceeds standards.


Continual Improvement

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to expand and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Open to the suggestions from others.


Professional Development

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Allows employees to fully participate in employee training and professional development.
  1. Seeks opportunities for professional development.
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Keep themselves up-to-date of technical/professional issues
  1. Encourages employees to take courses relevant to their job.


Persuasion and Influence

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Develops a good rapport with others.
  1. Seeks to obtain consensus or compromise.
  1. Persuades others to consider alternative points of view.
  1. Communicates effectively with others.
  1. Has excellent influencing/negotiating skills.


Excellence

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is planful and organized.
  1. Keeps themselves and others focused on constant improvement.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Takes a lot of pride in their work.
  1. Produces high quality work.


Regulatory/Compliance

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Creates a standardized response protocol for responding to compliance related issues.
  1. Uses compliance reports to evaluate the effectiveness of compliance initiatives identifying areas of risk.
  1. Coordinates internal and external audit procedures.
  1. Performs regular compliance audits.
  1. Observes, monitors and coordinates compliance activities.


Interpersonal Skills

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Promotes acceptance of diverse viewpoints from team members.
  1. Creates diverse teams of individuals with different backgrounds, skills, and abilities.
  1. Strives for win/win solutions
  1. Is well respected in the department.
  1. Assists those in the department who need help in meeting performance metrics.


Client Focus

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Focuses on the unique needs of each client.
  1. Consistently meets client's needs.
  1. Uses feedback from the client to help improve the client's experience.
  1. Addresses client complaints immediately.
  1. Follows up with any unanswered questions from the client.


Empowering Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Allows subordinates to perform mission critical tasks.
  1. Recognizes the contributions that others make to the department.
  1. Gives new tasks to employees.
  1. Assigns important tasks to subordinates.
  1. Helps employees advance their skills so that they can have more autonomy.


Conflict Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Seeks to remove misperceptions that may contribute toward conflict.
  1. Seeks to develop a shared understanding of the issues involved.
  1. Works to settle conflicts in a manner that is acceptable for a long-term solution.
  1. Deals effectively with employee grievances.
  1. Able to settle disputes equitably.


Recognition

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Recognizes the abilities and skills of self and others
  1. Lets employees know when they have done well
  1. Offers recognition in a timely manner.
  1. Makes people around them feel appreciated and valued.


Entrepreneurship

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Able to adapt the department to changing business demands and climate.
  1. Excellent at managing relationships with stakeholders.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Understands the processes and various stages of business development.
  1. Can work effectively in an environment of uncertainty.


Planning

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Open to input from others into the plan for development of the strategic plan.
  1. Encourages others to follow the plan.
  1. Develops strategic plans for the company/organization.
  1. Develops proper plans to ensure seamless flow of materials through logistics.
  1. Makes strategic and tactical decisions to guide the logistics process.



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






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.