HR-Survey > 360-Degree Feedback > Competency Model

Performance - 360 Degree Feedback Survey Sample #8





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)
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 .

Performance

Agree Unsure Disagree N/A
  1. Effective in performing his/her job.
  1. Listens and responds to issues and problems
  1. Able to organize work.
  1. Effectively organizes resources and plans
  1. Sets a high standard for job performance.


Goals

Agree Unsure Disagree N/A
  1. Achieves goals.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Understands & contributes to development of strategic goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Makes sure that team members have a clear idea of our group's goals.


Results Oriented

Agree Unsure Disagree N/A
  1. Recognizes the problem that needs to be solved.
  1. Achieves long and short-term goals.
  1. Works toward achievement of goals even when confronted with obstacles.
  1. Encourages employees to give 100% to achieving high results.
  1. Completes all assigned tasks.


Excellence

Agree Unsure Disagree N/A
  1. Demonstrates the analytical skills to do their job.
  1. Produces high quality work.
  1. Keeps themselves and others focused on constant improvement.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Is planful and organized.


Passion To Learn

Agree Unsure Disagree N/A
  1. Embraces new technology and procedures.
  1. Inspires others to learn new things.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Takes initiative for own learning and development.
  1. Stays up-to-date on emerging technologies.


Continual Learning

Agree Unsure Disagree N/A
  1. Improves on their skill sets.
  1. Pursues self-improvement through continual learning.
  1. Takes charge of their training and skills enhancement.
  1. Participates in regular training offered.
  1. Views setbacks as opportunities to learn from.


Continual Improvement

Agree Unsure Disagree N/A
  1. Open to the suggestions from others.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.


Persuasion and Influence

Agree Unsure Disagree N/A
  1. Develops a good rapport with others.
  1. Communicates effectively with others.
  1. Able to express own goals and needs.
  1. Understanding what others need.
  1. Attempts to persuade others rather than simply control them.


Client Focus

Agree Unsure Disagree N/A
  1. Effectively troubleshoots client issues.
  1. Adapts to changing client needs.
  1. Is aware of what the client wants to receive.
  1. Identifies opportunities that will enhance the client's experience.
  1. Ensures client commitments and requirements are met or exceeded


Customer Focus

Agree Unsure Disagree N/A
  1. Tailors solutions to meet the specific needs of each customer.
  1. Engages with customers on multiple levels.
  1. Is consistent in services provided to customers.
  1. Builds long term relationships with customers.
  1. Competent in managing customer projects.


Conflict Management

Agree Unsure Disagree N/A
  1. Tries to understand others' point of view before making judgments
  1. Resolves grievances through a better understanding and appreciation of what each side needs.
  1. Seeks to avert the recurrence of conflict issues.
  1. Uses structured frameworks for resolving conflicts, such as mediation or facilitated discussions.
  1. Deals effectively with employee grievances.


Fiscal Management

Agree Unsure Disagree N/A
  1. Monitors expenses and verifies the need for items purchased.
  1. Monitors spending.
  1. Effective in using Company's resources.
  1. Develops of the department's annual budget.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.



  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.