HR-Survey > 360-Degree Feedback > Competency Model

Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Surveys measuring the ability to handle multiple responsibilities:
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:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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 by .

Thank you for your participation in the survey.

Management Team



Juggling Multiple Responsibilities

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Prioritizes tasks for efficiency.
  1. Organizes tasks for the most efficient order of completion.
  1. Can multitask while performing all of their other responsibilities and activities.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Completes multiple tasks simultaneously.


Empowering Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Trusts employees with important responsibilities.
  1. Allows the employees to have flexible work schedules.
  1. Coordinates the knowledge, skills and resources of others to accomplish more in the department.
  1. Delegates authority to employees and allows them to make their own decisions.
  1. Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Is open to receiving feedback.
  1. Tries to ensure employees are ready to move to the next level.
  1. Creates opportunities for professional development.
  1. Sets performance objectives for subordinates that encourages development opportunities.


Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Constructively receives criticism and suggestions from others.
  1. Respects the opinions of other employees.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. ...treats others with respect and dignity.
  1. Able to see issues from others' perspectives.


Strategic Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Implements and executes the company's strategy for advancing production capabilities.
  1. Identifies bottlenecks in the production process and develops strategies to correct these issues.
  1. Communicates goals and objectives to employees.
  1. Develops strategies to effectively use company resources and exploit potential opportunities.
  1. Detects changes in the environment and updates the strategic plan to address new opportunities or threats.


Fiscal Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Develops budgets and plans for various programs and initiatives.
  1. Provides budgeting and accounting support to the Company.
  1. Effective in using Company's resources.
  1. Monitors expenses and verifies the need for items purchased.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates a positive vision of the future for the Company.
  1. Leads employees in new directions.
  1. Persuades others to follow the Company's vision.
  1. Creates a common vision for others.
  1. Communicates the vision and strategy of [Company]



  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.