HR-Survey > 360-Degree Feedback > Competency Model

Planning- 360 Degree Feedback Survey Sample #9





360 Feedback Survey

Assessments 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)
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.

Planning

Definite Strength Meets Standards Needs Development N/A
  1. Develops a strategic plan to reduce costs in the department.
  1. Creates to-do lists to make sure nothing is missed.
  1. Creates a timeline for events and monitors progress.
  1. Always has a "Plan-B" ready if needed.
  1. Assesses the risks of various strategic plans.


Entrepreneurship

Definite Strength Meets Standards Needs Development N/A
  1. Is comfortable operating in an environment of uncertainty.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Encourages risk taking for developing potential business opportunities.
  1. Able to adapt the department to changing business demands and climate.
  1. Encourages dynamic growth opportunities.


Creativity

Definite Strength Meets Standards Needs Development N/A
  1. Is creative.
  1. Inspires creativity in their team.
  1. Creates a lot of new ideas.
  1. Adds value to the department/organization.
  1. Conceives, implements and evaluates ideas.


Leadership

Definite Strength Meets Standards Needs Development N/A
  1. Highly effective supervisor.
  1. Recognizes individual and team accomplishments and reward them appropriately.
  1. Able to align manpower, design work, an allocate tasks to achieve goals.
  1. Demonstrates leadership and courage in critical situations.
  1. Able to organize the work of others.


Performance

Definite Strength Meets Standards Needs Development N/A
  1. Effective in performing his/her job.
  1. ...Overall Performance
  1. ...Produce Quality
  1. Listens and responds to issues and problems
  1. Sets a high standard for job performance.


Developing Others

Definite Strength Meets Standards Needs Development N/A
  1. Creates opportunities for professional development.
  1. Is open to receiving feedback.
  1. Provides constructive feedback to others.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Assigns tasks and responsibilities to develop skills of others.


Conflict Management

Definite Strength Meets Standards Needs Development N/A
  1. Discusses conflict situations with supervisor.
  1. Assists team members by helping them see the other point of view.
  1. Identifies and takes steps to prevent potential confrontations.
  1. Clearly expresses expectations to others.
  1. Helps employees to think through alternative ways to resolve conflict situations.



  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.