HR-Survey > 360-Degree Feedback > Competency Model

Planning- 360 Degree Feedback Survey Sample #6





360-Degree Assessment Survey

Surveys Measuring Planning:
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)
Dear Employee:

You have been selected to provide feedback on the employee listed above. Your 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 working with this employee over the last twelve months. 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 be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Planning

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Prioritizes plans based on a cost/benefit analysis.
  1. Initiates the planning process by defining the scope of the project.
  1. Develops strategic plans for ensuring competitiveness in the marketplace.
  1. Creates a timeline to specify when each phase of the project should be concluded.
  1. Divides complex tasks into smaller steps to measure progress toward a goal.


Integrity

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Accepts responsibility for mistakes.
  1. Does what was promised.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Follows tasks to completion.
  1. Fosters an environment built upon trust.


Continual Learning

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Sets relevant learning objectives and goals.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Pursues professional development opportunities when they arise.
  1. Pursues self-improvement through continual learning.
  1. Pursues learning that will enhance job performance.


Attitude

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Builds open and trusting relationships.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Contributes to a positive and fun work environment.
  1. Visibly supports and encourages diversity in style and background.


Cultural Awareness

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Seeks opportunities to learn about the other cultural backgrounds of colleagues.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Is willing to include individuals with different cultural backgrounds on the team.
  1. Helps other employees to become more culturally sensitive.


Project Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Identifies the source materials that will be needed.
  1. Acquires and allocates internal and external resources needed for the project.
  1. Organizes work and sets priorities as needed.
  1. Estimates the duration for each phase of the project.
  1. Able to adjust project schedule as needed to accommodate unforeseen issues.


Analytical

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Analyzes data and information from several sources and arrives at logical conclusions.
  1. Selects the appropriate techniques for analysis.
  1. Identifies the root cause of a problem.
  1. Identifies problems and issues needing resolution.
  1. Uses appropriate techniques to solve problems.


Quality

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Holds employees accountable for their quality of work.
  1. Encourages others to produce the highest quality work products.
  1. Reflects on what is working and what could be improved.
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
  1. Corrects issues in a timely manner.


Innovation

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Implements best practices within the department.
  1. Offers constructive improvements to existing systems.
  1. Creates a safe environment for idea-sharing.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Searches for opportunities and innovative ways to improve the organization.


Co-worker Development

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Provides ongoing feedback to co-workers on their development progress
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Works to identify root causes of performance problems
  1. Sets and clearly communicates expectations, performance goals, and measurements to others



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.