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

Quality - 360 Degree Feedback Survey Sample #2





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)
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:
Quality, Initiative, Creativity, Action, Managing Performance, Analytical, Juggling Multiple Responsibilities, Excellence, Customer Focus, Empowering Others, Conflict Management, Teamwork
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.
Edit this Survey
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Quality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I propose a variety of solutions to address quality needs.
  1. You encourage others to produce the highest quality work products.
  1. You create effective policies regarding quality of services and products.
  1. I view quality issues as a system failure rather than an individual failure.
What are your suggestions for how you can make improvements
in Quality?

Initiative

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I initiate draft reports for consideration.
  1. You demonstrate resilience by learning from failed attempts and apply insights to future actions.
  1. You seize upon opportunities available.
  1. You act quickly to address any issues or problems.
What are your suggestions for how you can make improvements
in Initiative?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You add value to the department/organization.
  1. You collaborate across teams to generate fresh ideas.
  1. I tailor creative solutions to deliver meaningful outcomes for users, clients, or patients.
  1. I reflect on new learning to inspire imaginative thinking.
What are your suggestions for how you can make improvements
in Creativity?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I stay focused and productive when there is work to be done.
  1. You do whatever it takes (within reason) to get the job done.
  1. I seek out opportunities to contribute beyond assigned responsibilities.
  1. You adapt your approach in order to overcome significant obstacles.
What are your suggestions for how you can make improvements
in Action?

Managing Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You regularly conduct performance reviews of all employees.
  1. You assign responsibility for meeting specific objectives.
  1. You make sure commitments are understood and met.
  1. I link qualitative objectives to quantitative key results.
What are your suggestions for how you can make improvements
in Managing Performance?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I am easily able to separate a process/procedure into its component parts.
  1. You determine the relevance and accuracy of information.
  1. I help employees see that changes in one part of the business can affect other parts.
  1. I am able to dissect a problem into its core elements.
What are your suggestions for how you can make improvements
in Analytical?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You can multitask while performing all of your other responsibilities and activities.
  1. You avoid bottlenecks in progress by assigning multiple individuals to critical tasks.
  1. You assign tasks based on skills of team members.
  1. You spend the most time and effort on critical tasks first.
What are your suggestions for how you can make improvements
in Juggling Multiple Responsibilities?

Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You demonstrate the analytical skills to do your job.
  1. You can be counted on to add value wherever you are involved.
  1. You are planful and organized.
  1. You take a lot of pride in your work.
What are your suggestions for how you can make improvements
in Excellence?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You obtain feedback to ensure customer needs are being met.
  1. I fulfill commitments made to customers.
  1. You adapt to changes proposed by the customer.
  1. I systematically gather and analyze customer feedback to identify service gaps or improvement areas.
What are your suggestions for how you can make improvements
in Customer Focus?

Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I allow employees to take on more responsibilities.
  1. You recognize that employees may need flexibility in their working hours.
  1. I allow employees the freedom to do tasks how they see fit, but hold them accountable for obtaining results.
  1. I allow employees to organize their schedule to best accomplish the job.
What are your suggestions for how you can make improvements
in Empowering Others?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You ensure that each party feels heard and understood, while reducing assumptions and misinterpretations.
  1. I revisit previously held assumptions or decisions when new information or perspectives emerge.
  1. I prevent minor issues from escalating into major problems.
  1. I navigate emotionally charged situations with tact, persuading others to consider alternative viewpoints without defensiveness.
What are your suggestions for how you can make improvements
in Conflict Management?

Teamwork

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You create opportunities to learn with other team members
  1. You promote open communication on the team.
  1. I consider the impact and implications of decisions on the team.
  1. You help the team decide what long term goals need to be met.
What are your suggestions for how you can make improvements
in Teamwork?


  1. Strengths


  2. Areas for Development


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