HR-Survey > 360-Degree Feedback > Competency Model

Goals - 360 Degree Feedback Survey Sample #9





360 Feedback 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)
Self-Assessment Instructions

Thank you for agreeing to participate in this leadership training process. As part of this process, you will be completing the self-assessment questionnaire (below). As you respond, please draw on your work experiences over the past 12 months. Rate each item using the scale shown. Comments at the end can help you to explain your ratings. If you gave a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to you at the next leadership seminar to help guide your ongoing professional development.

Competencies Included:
Goals, Time Management, Regulatory/Compliance, Communication Skills, Flexibility, Bias for Action, Managing Performance, Administrative Skill, Developing Others, Organizational Fluency
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.

Goals

 Definite Strength Meets Standards Needs Development N/A
  1. You make sure that I have a clear idea of our group's goals.
  1. You conduct timely follow-up; keeps others informed on a need to know basis.
  1. You understand and contribute to development of strategic goals.
  1. You achieve goals.
  1. You set high expectations and goals; encourages others to support the organization.


Time Management

 Definite Strength Meets Standards Needs Development N/A
  1. I delegate tasks to free up time to focus on more important issues.
  1. You focus time on the important tasks that add significant value.
  1. I prioritize critical tasks for the beginning of the shift.
  1. You start meetings on time.
  1. I sustain high productivity levels throughout the day.


Regulatory/Compliance

 Definite Strength Meets Standards Needs Development N/A
  1. You maintain compliance with federal, state, and local laws.
  1. You are familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
  1. You know who to contact at various regulatory agencies if needed.
  1. You perform audits regularly, or without notice, to ensure proper compliance with regulations.
  1. You maintain historical records and documents as needed/required.


Communication Skills

 Definite Strength Meets Standards Needs Development N/A
  1. You are an effective communicator
  1. You give clear and convincing presentations.
  1. You ask follow-up questions as needed.
  1. You convey ideas confidently and succinctly.
  1. You deliver influential presentations.


Flexibility

 Definite Strength Meets Standards Needs Development N/A
  1. You are open to the perspectives/viewpoints of others.
  1. You are open to alternative ways to accomplish goals
  1. You adapt to new organizational structures, policies, or procedures.
  1. You adapt to circumstances as needed.
  1. You can handle changes without complaining.


Bias for Action

 Definite Strength Meets Standards Needs Development N/A
  1. You complete work on time
  1. You convey a sense of urgency about addressing problems and opportunities
  1. You display high energy and enthusiasm on consistent basis.
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. You complete a large volume of work.


Managing Performance

 Definite Strength Meets Standards Needs Development N/A
  1. I set and maintain high standards for myself and others.
  1. I participate in training as needed to improve job performance.
  1. You provide employees with training as needed to increase their performance.
  1. I ensure Job Descriptions are up to date and accurate.
  1. I communicate the roles and responsibilities to the employee.


Administrative Skill

 Definite Strength Meets Standards Needs Development N/A
  1. You take responsibility for decisions.
  1. You have strong organizational skills to keep the workspace and department in order
  1. You are enthusiastic about taking on challenging projects.
  1. You implement and use performance measures.
  1. You complete reports on-time.


Developing Others

 Definite Strength Meets Standards Needs Development N/A
  1. You recognize and celebrates accomplishments of others.
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
  1. You try to ensure employees are ready to move to the next level.
  1. You create opportunities for professional development.
  1. You set performance objectives for subordinates that encourages development opportunities.


Organizational Fluency

 Definite Strength Meets Standards Needs Development N/A
  1. You are able to use corporate politics to advance department objectives.
  1. You get things done through the department.
  1. You understand departmental policies and procedures.
  1. You are able to deal with sensitive issues with tact and professionalism.
  1. You are adept at navigating within the culture of the department.



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






  2. Strengths


  3. Areas for Development


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