hr-survey.com
HR-Survey > 360-Degree Feedback > Competency Model > Responsibility

Responsibility - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Responsibility:
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

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Responsible, Continual Learning, Continual Improvement, Quality, Juggling Multiple Responsibilities, Results Oriented, Interpersonal Skills, Coaching, Conflict Management, Global Perspective
Sample Result Document:
Sample Results
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.

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



Edit this Survey
Would you like to edit this survey? Click here to begin.


Responsible

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Your behavior is ethical and honest.
  1. You work in a way that makes others want to work with you.
  1. You set a good example.
  1. You act as a resource without removing individual responsibility.
  1. You complete assigned work tasks.
Please feel free to provide any comments to help explain your answers?

Continual Learning

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You share best practices with others and learn from others.
  1. You participate in regular training offered.
  1. You pursue learning that will enhance job performance.
  1. You pursue self-improvement through continual learning.
  1. You take the initiative to learn new skills.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You look for ways to improve work processes and procedures.
  1. You analyze processes to determine areas for improvement.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You are open to the suggestions from others.
  1. You look for ways to expand and learn new job skills.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I quickly address changes in quality of the products.
  1. You develop measures of the success of quality initiatives.
  1. I influence others to achieve high quality standards.
  1. I communicate quality standards clearly.
  1. I successfully implement quality controls within the department.
Please feel free to provide any comments to help explain your answers?

Juggling Multiple Responsibilities

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. You assess current capabilities before committing to new requests from customers.
  1. You observe, analyze, and respond to merchandise needs while serving customers and accomplishing operational tasks.
  1. You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. You complete multiple tasks simultaneously.
Please feel free to provide any comments to help explain your answers?

Results Oriented

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I achieve performance benchmarks.
  1. I set objectives for the department.
  1. You stay focused on solving problems and getting work done.
  1. I am flexible and willing to change the strategy to better achieve the objectives.
  1. You determine the parts of the project that need completed first.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I give constructive feedback on performance reviews.
  1. You maintain open and regular communication with others.
  1. You successfully resolve conflicts and grievances to a win-win solution.
  1. You demonstrate compassion and understanding of others.
  1. I appreciate the extra efforts made by coworkers.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You meet regularly with employees to coach them on areas that will enhance your performance
  1. You conduct regular performance appraisals and feedback.
  1. You address employee behavior problems effectively.
  1. You develop the skills and capabilities of others.
  1. You help employees to maintain high personal standards.
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You influence attitudes, beliefs, and behaviors in a way that fosters resolution and cooperation.
  1. I promote mutual compromise to achieve conflict resolution.
  1. I avoid engaging in conflicts over minor workplace matters.
  1. You prepare team members to accept differing view points.
  1. You assist team members by helping them see the other point of view.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You apply knowledge of overseas markets.
  1. You cooperate with others on a global scale.
  1. You demonstrate a curiosity about diverse individuals and cultures.
  1. You work well with others from different cultural backgrounds.
  1. You understand how cultures differ and how these differences impact work behavior.
Please feel free to provide any comments to help explain your answers?

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






  2. Strengths


  3. Areas for Development


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