HR-Survey > 360-Degree Feedback > Competency Model

Recognition- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Surveys Measuring Recognition:
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:

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 Closing Comments section. 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.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team





Recognition

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Finds opportunities to recognize others.
  1. Offers recognition in a timely manner.
  1. Recognizes the abilities and skills of self and others
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Recognizes team members who offer a significant contribution to a project.


Adaptability

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Able to work effectively with new people and new teams.
  1. Able to adjust to changing environments.
  1. Responsive to the needs of others.
  1. Is open to changes in policies and procedures.
  1. Adjusts to new plans and procedures.


Continual Learning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is open to new ideas and concepts.
  1. Views setbacks as opportunities to learn from.
  1. Pursues professional development opportunities when they arise.
  1. Participates in regular training offered.
  1. Builds on their strengths while addressing their weaknesses.


Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Makes you feel enthusiastic about your work
  1. Is ready to offer help
  1. Takes responsibility for things that go wrong
  1. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company


Decision Making

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Effectively chooses appropriate courses of action.
  1. Is confident in the decisions they make.
  1. Determines constraints that may impact what decisions are acceptable.
  1. Receptive to new ideas from others when making decisions.
  1. Applies creative reasoning in making decisions.


Achievement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Driven to complete goals despite obstacles that may arise.
  1. Increased customer satisfaction scores for the quarter.
  1. Follows-up and takes action when goals are not met to ensure better results in the future.
  1. Demonstrates improvement in performance.
  1. Takes immediate action of projects that fall behind schedule.


Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Maximizes the use of new technology to deliver products and services.
  1. Adopts the implementation of new technology into the workplace.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Uses technology in decision making and problem solving.


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Prioritizes client issues based on urgency.
  1. Helps clients feel they are receiving services tailored specifically to their needs.
  1. Ensures client commitments and requirements are met or exceeded
  1. Prioritizes client issues to tackle the most pressing needs first.
  1. Is aware of the client's needs.


Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Inspires employees to adopt the strategic plan.
  1. Identifies potential problems before they become critical incidents.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. Adjusts strategic plans based on insights gathered from different points of view.
  1. Attends industry conferences to gain further insight into how other companies deal with similar issues.



  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.