HR-Survey > 360-Degree Feedback > Competency Model

Others- 360 Degree Feedback Survey Sample #9





360 Feedback Survey

Assessments 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

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 comment section for that competency. 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.

Others

Definite Strength Meets Standards Needs Development N/A
  1. Consistently demonstrates ability and willingness to trust others.
  1. Works across boundaries within the organization.
  1. Able to see issues from others' perspectives.
  1. Forms working relationships with employees from other departments.
  1. Helpful


Administrative Skill

Definite Strength Meets Standards Needs Development N/A
  1. Has strong technical/computer skills.
  1. Takes responsibility for decisions.
  1. Accurately implements contract provisions.
  1. Enthusiastic about taking on challenging projects.
  1. Implements and uses performance measures.


Leadership

Definite Strength Meets Standards Needs Development N/A
  1. Takes ownership and accountability for results
  1. Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
  1. Is a highly effective supervisor.
  1. Effectively leads others.
  1. Sets specific, measurable, and challenging goals.


Supervisory Skills

Definite Strength Meets Standards Needs Development N/A
  1. Emphasizes constructive discipline strategies, prioritizing the development and feedback of employees over punitive measures.
  1. Effectively uses rewards to help motivate employees.
  1. Ensures employees know what they need to complete during the shift.
  1. Is able to motivate others through persuasion rather than coercion.
  1. Uses metrics and benchmarks established by the department.


Creativity

Definite Strength Meets Standards Needs Development N/A
  1. Conceives, implements and evaluates ideas.
  1. Creates a lot of new ideas.
  1. Is creative.
  1. Adds value to the department/organization.
  1. Develops solutions to challenging problems.


Passion To Learn

Definite Strength Meets Standards Needs Development N/A
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Takes advantage of training opportunities when they arise.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Is open to feedback from others.


Juggling Multiple Responsibilities

Definite Strength Meets Standards Needs Development N/A
  1. Assigns tasks based on skills of team members.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Can multitask while performing all of their other responsibilities and activities.
  1. Determines which tasks are critical and which tasks are optional.
  1. Coordinates the work of a team by assigning tasks to other team members.


Clarity

Definite Strength Meets Standards Needs Development N/A
  1. Communicates with clarity and efficiency.
  1. Avoids creating ambiguity or mixed messages.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Clearly explains the vision and goals of the company.
  1. Attends to the important details of a job or task.


Trustworthy

Definite Strength Meets Standards Needs Development N/A
  1. Takes care to maintain confidential information.
  1. Builds and maintains the trust of others.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Is a person you can trust.


Partnering/Networking

Definite Strength Meets Standards Needs Development N/A
  1. Supports a partnering/networking culture.
  1. Builds alliances between departments and teams.
  1. Maintains infrastructure to support partnerships and networks.
  1. Forges mutually beneficial relationships between individuals with diverse backgrounds.
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.



  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.