HR-Survey > 360-Degree Feedback > Competency Model

Objectives - 360 Degree Feedback Survey Sample #8





Questionnaires Measuring Objectives:
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

You have been selected to complete a self-assessment questionnaire as part of a 360-degree feedback assessment. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

Respond to the assessment form based on your work experiences during the previous 12 months. Your responses will be merged with other people's feedback and presented to you in your on-going development. Comments from others will be shared anonymously, as written.

Competencies Included:
Objectives, Achievement, Establishing Focus/Direction, Innovation, Interpersonal Skills, Responsible, Coaching, Others, Cultural Awareness, Global Perspective
Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Objectives

 Agree Unsure Disagree N/A
  1. You consistently provide me with timely feedback for improving my performance.
  1. You communicate goals and objectives to employees.
  1. You establish goals and objectives.
  1. You effectively organize resources and plans
  1. You encourage others to take on greater responsibility.


Achievement

 Agree Unsure Disagree N/A
  1. I am highly motivated to achieve performance goals.
  1. I increase revenue for the company.
  1. You are able to increase customer satisfaction scores for the quarter.
  1. I set performance metrics to measure achievement or attainment of goals.
  1. I can complete training on the new equipment.


Establishing Focus/Direction

 Agree Unsure Disagree N/A
  1. You help guide employees with prioritizing tasks.
  1. You maintain self-control when personally criticized.
  1. You stay focused even when under pressure and stress.
  1. You set appropriate goals for employees.
  1. You align the department's goals with the goals of the organization.


Innovation

 Agree Unsure Disagree N/A
  1. You offer constructive improvements to existing systems.
  1. You search for opportunities and innovative ways to improve the organization.
  1. You challenge current procedures to develop other alternatives.
  1. You take risks to advance important ideas.
  1. You foster a creative and innovative work environment.


Interpersonal Skills

 Agree Unsure Disagree N/A
  1. I recognize when others do a good job.
  1. You a good listener who is attentive to others. I am a good listener who is attentive to others.
  1. I offer constructive criticism to have a positive impact on performance.
  1. You understand the core issues of conversations.
  1. You adapt management style to meet the needs of the individual or situation.


Responsible

 Agree Unsure Disagree N/A
  1. You complete assigned work tasks.
  1. You are a person others can trust.
  1. You act as a resource without removing individual responsibility.
  1. You are responsible for setting the vision of the department.
  1. You take personal responsibility for results.


Coaching

 Agree Unsure Disagree N/A
  1. You address employee behavior problems effectively.
  1. You help employees to maintain high personal standards.
  1. You provide clear, motivating, and constructive feedback.
  1. You develop the skills and capabilities of others.
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.


Others

 Agree Unsure Disagree N/A
  1. You include others in the decision making processes.
  1. You support the efforts of other employees in implementing solutions to problems.
  1. You work effectively with people from other departments.
  1. You constructively receive criticism and suggestions from others.
  1. You work across boundaries within the organization.


Cultural Awareness

 Agree Unsure Disagree N/A
  1. I interact effectively with people from different cultural backgrounds.
  1. I seek clarification to avoid misunderstandings.
  1. I am willing to include individuals with different cultural backgrounds on the team.
  1. I am aware of differences in how individuals from other cultures greet one another.
  1. I am aware of my cultural views.


Global Perspective

 Agree Unsure Disagree N/A
  1. You are able to listen and understand others and discuss issues in a respectful way.
  1. You align personal vision with global strategies.
  1. You apply knowledge of overseas markets.
  1. You exemplify the skills of a global worker.
  1. You are aware of the culture, behaviors, identities and beliefs of others.



  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.