HR-Survey > 360-Degree Feedback > Competency Model > Quality Skills

Quality - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Quality:
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; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

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.

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.

Competencies Included:
Quality, Integrity, Continual Learning, Leadership, Persuasion and Influence, Technical, Interpersonal Skills, Developing Others, Others, Entrepreneurship, Global Perspective
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

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


Quality

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops measures of the success of quality initiatives.
  1. Views quality issues as a system failure rather than an individual failure.
  1. Able to identify quality issues critical to the organization.
  1. Proposes a variety of solutions to address quality needs.
  1. Consistently provides timely, accurate, and reliable information on quality measures.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?

Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Protects the integrity and confidentiality of information
  1. Demonstrates sincerity in actions with others.
  1. Fosters an environment built upon trust.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Develops trust and confidence from others.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is open to new ideas and concepts.
  1. Participates in regular training offered.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Improves on their skill sets.
  1. Seeks opportunities to grow in skills and knowledge.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Sets specific, measurable, and challenging goals.
  1. Motivates others to reach and exceed organizational goals and objectives.
  1. Holds others accountable for their actions.
  1. Takes ownership and accountability for results
  1. Leads team to set goals, solve problems, and accomplish tasks.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Persuasion and Influence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Understanding what others need.
  1. Communicates effectively with others.
  1. Seeks to obtain consensus or compromise.
  1. Attempts to persuade others rather than simply control them.
  1. Able to express own goals and needs.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Technical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Knows how to produce high quality products/work.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Willingly shares his/her technical expertise; sought out as resource by others
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Follows up on inquiries in a timely manner.
  1. Demonstrates compassion and understanding of others.
  1. Is a highly respected individual in the company.
  1. Successfully resolves conflicts and grievances to a win-win solution.
  1. Is trusted by peers and co-workers; others are willing to confide in him/her
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Developing Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is open to receiving feedback.
  1. Recognizes and celebrates accomplishments of others.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Tries to ensure employees are ready to move to the next level.
  1. Creates opportunities for professional development.
If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?

Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. ...treats others with respect and dignity.
  1. Works effectively with people from other departments.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Able to see issues from others' perspectives.
  1. Helpful
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?

Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Balances risks and rewards when making decisions.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Encourages dynamic growth opportunities.
  1. Has a strategic awareness on how to promote the organization.
  1. Excellent at managing relationships with stakeholders.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

Global Perspective

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Facilitates open communication with individuals from other countries.
  1. Works well with others from different cultural backgrounds.
  1. Respects individual differences.
  1. Attends training seminars and conferences to increase skills in working with others globally.
  1. Understands how cultures differ and how these differences impact work behavior.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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