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 effectively with people from other departments.
  1. Is able to see issues from others' perspectives.
  1. Forms working relationships with employees from other departments.
  1. Able to see issues from others' perspectives.


Administrative Skill

Definite Strength Meets Standards Needs Development N/A
  1. Strong organizational skills to keep the workspace and department in order
  1. Implements and uses performance measures.
  1. Takes responsibility for decisions.
  1. Completes reports on-time.
  1. Enthusiastic about taking on challenging projects.


Leadership

Definite Strength Meets Standards Needs Development N/A
  1. Is a highly effective supervisor.
  1. Sits down regularly with employees to review their job performance.
  1. Acts decisively in implementing decisions.
  1. Motivates others to reach and exceed organizational goals and objectives.
  1. Guides decision-making by coaching, counseling and rewarding.


Supervisory Skills

Definite Strength Meets Standards Needs Development N/A
  1. Resolves personnel problems quickly and effectively.
  1. Effectively determines which issues need immediate attention.
  1. Is a calming force during stressful periods.
  1. Listens to the concerns of employees.
  1. Gives employees the ability to complete their tasks as they see fit.


Creativity

Definite Strength Meets Standards Needs Development N/A
  1. Creates a lot of new ideas.
  1. Is creative.
  1. Develops solutions to challenging problems.
  1. Inspires creativity in their team.
  1. Adds value to the department/organization.


Passion To Learn

Definite Strength Meets Standards Needs Development N/A
  1. Enjoys learning new skills and techniques.
  1. Inspires others to learn new things.
  1. Is committed to enhancing their own knowledge and skills.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.


Juggling Multiple Responsibilities

Definite Strength Meets Standards Needs Development N/A
  1. Ranks the importance of tasks to make sure critical tasks are completed first.
  1. Switches attention to more urgent tasks when necessary.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Builds in extra time in the schedule for unplanned events/occurrences.


Clarity

Definite Strength Meets Standards Needs Development N/A
  1. Checks details thoroughly.
  1. Adjusts communication methods to the needs of the audience.
  1. Is clear about goals that need to be achieved.
  1. Clearly defines work objectives for employees.
  1. Seeks to reduce ambiguity in messaging and documents.


Trustworthy

Definite Strength Meets Standards Needs Development N/A
  1. Takes care to maintain confidential information.
  1. Delivers on promises made.
  1. Is trustworthy; is someone I can trust.
  1. Works in a way that makes others want to work with her/him.
  1. Builds and maintains the trust of others.


Partnering/Networking

Definite Strength Meets Standards Needs Development N/A
  1. Establishes appropriate monitoring of activities in the network.
  1. Develops important industry contacts to facilitate business goals.
  1. Maintains communication channels with colleagues in the industry.
  1. Partners with peers to obtain influence within the Company.
  1. Creates joint initiatives or projects that serve the common interests of all parties.



  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.