HR-Survey > 360-Degree Feedback > Competency Model > Performance

Performance - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Performance:
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)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. Feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences as an employee over the last twelve months and the goals you were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Performance, Administrative Skill, Technology Use/Management, Creativity, Self Management, Persuasion and Influence, Clarity, Developing Others, Business Acumen, Strategic Insight
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 between . The survey will only be available during these dates.


Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are effective in performing your job.
  1. You listen and respond to issues and problems
  1. You have great overall performance
  1. You work effectively in the department.
  1. You work well in this position.
What are your suggestions for how you can make improvements
in Performance?

Administrative Skill

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You implement and use performance measures.
  1. You complete reports on-time.
  1. You have strong organizational skills to keep the workspace and department in order
  1. You take responsibility for decisions.
  1. You are able to develop, justify and present a budget.
What are your suggestions for how you can make improvements
in Administrative Skill?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You understand and are committed to implementing new technologies.
  1. You adopt the implementation of new technology into the workplace.
  1. You are proficient in the use of technical systems and processes.
  1. You maximize the use of new technology to deliver products and services.
  1. You identify gaps between actual and needed technical competencies and provide recommendations for required training.
What are your suggestions for how you can make improvements
in Technology Use/Management?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are creative and inspirational.
  1. You conceive, implement and evaluate ideas.
  1. You develop solutions to challenging problems.
  1. You add value to the department/organization.
  1. You are creative.
What are your suggestions for how you can make improvements
in Creativity?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You use patience and self-control in working with customers and associates.
  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. You step away from a situation to process appropriate response.
What are your suggestions for how you can make improvements
in Self Management?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You have excellent influencing/negotiating skills.
  1. You are able to express own goals and needs.
  1. You communicate effectively with others.
  1. You persuade others to consider alternative points of view.
  1. You attempt to persuade others rather than simply control them.
What are your suggestions for how you can make improvements
in Persuasion and Influence?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You check details thoroughly.
  1. You clearly explain the vision and goals of the company.
  1. You adjust communication methods to the needs of the audience.
  1. You use appropriate grammar and tense in communications.
  1. You maintain clarity in goals and objectives.
What are your suggestions for how you can make improvements
in Clarity?

Developing Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You create a work environment that fosters positive feedback to employees.
  1. You try to ensure employees are ready to move to the next level.
  1. You set performance objectives for subordinates that encourages development opportunities.
  1. You create opportunities for professional development.
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
What are your suggestions for how you can make improvements
in Developing Others?

Business Acumen

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You effectively troubleshoot customer business issues.
  1. You have a good understanding of business operations to more effectively align company services to meet the needs of its customers.
  1. You understand financial terminology, statements.
  1. You identify new business opportunities.
  1. I understand our competitors and their strengths and weaknesses.
What are your suggestions for how you can make improvements
in Business Acumen?

Strategic Insight

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You have conversations with customers and clients to get a better insight into their personal needs.
  1. You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. You allocate proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. You meet with customers to gain insight into their core needs and how best to serve them.
  1. You create a mission statement describing the purpose for the organization.
What are your suggestions for how you can make improvements
in Strategic Insight?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.