HR-Survey > 360-Degree Feedback > Competency Model

Others- 360 Degree Feedback Survey Sample #8





Questionnaires Measuring Others:
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)
Instructions

You have been selected to provide feedback for the manager listed above. 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.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

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 .

Others

Agree Unsure Disagree N/A
  1. Forms working relationships with employees from other departments.
  1. Respects the opinions of other employees.
  1. ...treats others with respect and dignity.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Helpful


Empowering Others

Agree Unsure Disagree N/A
  1. Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
  1. Values the opinions of others.
  1. Sets clear goals for others to accomplish.
  1. Allows employees to take on more responsibilities.
  1. Trusts employees with important responsibilities.


Management

Agree Unsure Disagree N/A
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company
  1. Delegate tasks effectively
  1. Takes responsibility for things that go wrong
  1. Is ready to offer help


Project Management

Agree Unsure Disagree N/A
  1. Identifies the source materials that will be needed.
  1. Manages various facets of the project to keep it on track with the delivery date.
  1. Follows progress on the project from initial phase to completion.
  1. Keeps accurate records regarding the costs of various aspects of the project.
  1. Creates a risk management plan and periodically updates it as the project moves forward.


Achievement

Agree Unsure Disagree N/A
  1. Sets performance metrics to measure achievement or attainment of goals.
  1. Created impactful reports for the re-organization committee.
  1. Is results oriented.
  1. Helps others to improve or meet standards of performance.
  1. Motivated to exceed performance goals.


Objectives

Agree Unsure Disagree N/A
  1. Establishes goals and objectives.
  1. Organizes and schedules events, activities, and resources.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Able to organize work.
  1. Communicates goals and objectives to employees.


Client Focus

Agree Unsure Disagree N/A
  1. Focuses on providing excellent client service.
  1. Meets with clients on a regular basis.
  1. Fosters an environment that supports strong client focus.
  1. Builds trust with the client.
  1. Is above average in addressing the needs of the clients.


Teamwork

Agree Unsure Disagree N/A
  1. Takes the time to actively listen to other team member's perspectives.
  1. Finds opportunities to recognize and reward team members.
  1. Is able to accurately paraphrase and summarize what other team members have said.
  1. Gives constructive advice to other team members.
  1. Encourages other team members to adopt new procedures.


Action

Agree Unsure Disagree N/A
  1. Creates innovative products and services.
  1. Moves forward on important projects.
  1. Takes action to respond to dissatisfied customer.
  1. Will take action to address a problem rather than to wait to confer with others about the situation.
  1. Conducts critical-incident review immediately after the event.



  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.