HR-Survey > 360-Degree Feedback > Competency Model

Management - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Management:
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



Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Takes responsibility for things that go wrong
  1. Delegate tasks effectively
  1. Is ready to offer help
  1. Makes you feel enthusiastic about your work
  1. Keep staff informed about what is happening in the company


Managing Risk

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Tracks risks in a project.
  1. Is concerned about process safety management.
  1. Works within constraints of the organization.
  1. Knows how to obtain desired results with minimal losses.
  1. Creates a risk profile for projects and teams.


Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Understands the applicable regulations and laws that impact our business.
  1. Offers training on various subjects to help ensure employees are aware of regulations.
  1. Creates documents and reports as needed to maintain compliance with regulations.
  1. Complies with regulatory requirements for the state.
  1. Interacts with auditors and regulators on a professional basis.


Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Forges mutually beneficial relationships between individuals with diverse backgrounds.
  1. Supports a partnering/networking culture.
  1. Supports and encourages relationships that are created by diverse team members.
  1. Promotes the understanding of how the department affects the organization overall.
  1. Seeks an understanding of diverse functions within the Company.


Recognition

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Says "thank you" to show appreciation for work of others.
  1. Finds opportunities to recognize others.
  1. Readily shares credit and gives others opportunity for visibility.
  1. Makes people around them feel appreciated and valued.


Strategic Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Successfully implements a strategic plan.
  1. Maintains a strategic focus on external factors impacting the success of the company.
  1. Maintains a strategic focus to sustain competitiveness in changing business environments.
  1. Implements and executes the company's strategy for advancing production capabilities.
  1. Strategically positions resources to meet the needs of field based employees.


Entrepreneurship

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
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. Is comfortable operating in an environment of uncertainty.
  1. Has a strategic awareness on how to promote the organization.
  1. Exhibits determination and passion in completion of goals.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops action plans to align his/her work with the goals of the organization
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Works to support the strategy of [Company]
  1. Behaves in a way that is consistent with business values & code of conduct



  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.