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. Understands & contributes to development of strategic goals.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Achieves established goals.
  1. Establishes and documents goals and objectives.


Results Oriented

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is considered a high achiever.
  1. Sets objectives for the department.
  1. Highly motivated to complete tasks despite obstacles that may arise.
  1. Has a strong result orientation.
  1. Flexible and willing to change the strategy to better achieve the objectives.


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. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to expand current job responsibilities.
  1. Open to the suggestions from others.


Professional Development

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Keep themselves up-to-date of technical/professional issues
  1. Contributing fully to the extent of their skills
  1. Seeks opportunities for professional development.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  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. Able to express own goals and needs.
  1. Attempts to persuade others rather than simply control them.
  1. Ensures stakeholders are involved in the decision making process.
  1. Develops a good rapport with others.
  1. Communicates effectively with others.


Excellence

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Can be counted on to add value wherever they are involved.
  1. Produces high quality work.
  1. Demonstrates the analytical skills to do their job.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Is planful and organized.


Regulatory/Compliance

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
  1. Addresses issues quickly before they develop into major problems.
  1. Performs regular compliance audits.
  1. Is aware of the documents and reports needed to maintain compliance with regulations.
  1. Is professional and courteous in interactions with auditors and regulators.


Interpersonal Skills

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Respectful of the opinions and ideas of others.
  1. Uses tact, compassion, and sensitivity in interactions with others.
  1. Considers the other individual's point of view.
  1. Gives good advice and suggestions to coworkers.
  1. Creates diverse teams of individuals with different backgrounds, skills, and abilities.


Client Focus

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Identifies the most pressing needs of each client.
  1. Delivers high quality products to the client.
  1. Uses client feedback to help improve products and services.
  1. Has excellent communication with clients.
  1. Thoroughly understands the needs of the client.


Empowering Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is confident in the abilities of employees assigned important tasks.
  1. Allows the team to take responsibility for the project.
  1. Lets employees complete tasks according to their methods.
  1. Encourages employees to take the initiative when responding to an issue.
  1. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.


Conflict Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Clearly expresses expectations to others.
  1. Tries to understand others' point of view before making judgments
  1. Identifies and takes steps to prevent potential confrontations.
  1. Discusses conflict situations with supervisor.
  1. Assists team members by helping them see the other point of view.


Recognition

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Compliments other people when they do good work
  1. Finds opportunities to recognize others.
  1. Recognizes the abilities and skills of self and others
  1. Makes people around them feel appreciated and valued.
  1. Lets employees know when they have done well


Entrepreneurship

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Seeks and utilizes mentors to help guide professional development.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Balances risks and rewards when making decisions.
  1. Understands the processes and various stages of business development.


Planning

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Creates effective project plans.
  1. Open to input from others into the plan for development of the strategic plan.
  1. Develops good plans used for logistics.
  1. Determines the appropriate actions needed to achieve goals.
  1. Plans for future staffing needs.



  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.