HR-Survey > 360-Degree Feedback > Competency Model > Responsibility

Responsibility - 360 Degree Feedback Survey Sample #8





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)
Instructions

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Competencies Included:
Responsible, Interpersonal Skills, Coaching, Flexibility, Quality, Problem Solving, Results Oriented, Others, Global Perspective
Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Responsible

 Agree Unsure Disagree N/A
  1. Sets a good example
  1. Sets a good example.
  1. Acts as a resource without removing individual responsibility.
  1. Behavior is ethical and honest.
  1. Works in a way that makes others want to work with her/him.


Interpersonal Skills

 Agree Unsure Disagree N/A
  1. Expresses appreciation of other's work.
  1. Demonstrates compassion and understanding of others.
  1. Demonstrates willingness to work with others.
  1. Is open and approachable
  1. Keeps commitments made with coworkers.


Coaching

 Agree Unsure Disagree N/A
  1. Develops the skills and capabilities of others.
  1. Conducts regular performance appraisals and feedback.
  1. Addresses employee behavior problems effectively.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Helps employees to understand responsibilities, authority, and expectations.


Flexibility

 Agree Unsure Disagree N/A
  1. Remains calm when dealing with multiple issues.
  1. Allows workflows to evolve with the employees' creativity.
  1. Able to increase output to meet increased demand.
  1. Encourages others to adopt new procedures.
  1. Adapts to new organizational structures, policies, or procedures.


Quality

 Agree Unsure Disagree N/A
  1. Systematically and thoroughly inspects products for consistency in meeting specifications.
  1. Creates effective policies regarding quality of services and products.
  1. Develops processes to enhance quality standards.
  1. Communicates with team members regarding best quality practices.
  1. Demonstrates a strong commitment to achieving quality goals.


Problem Solving

 Agree Unsure Disagree N/A
  1. Actively seeks the root cause of a problem.
  1. Effective in solving problems.
  1. Works cooperatively with others to solve problems.
  1. Generates alternative solutions to problems and challenges.
  1. Solves problems using logic and insight.


Results Oriented

 Agree Unsure Disagree N/A
  1. Gives extra effort to solve problems and get work done on time.
  1. Does not become distracted by non-issues or interruptions.
  1. Sets the objectives for the team.
  1. Completes all assigned tasks.
  1. Produces a high volume of work.


Others

 Agree Unsure Disagree N/A
  1. Able to see issues from others' perspectives.
  1. Includes others in the decision making processes.
  1. Respects the opinions of other employees.
  1. Works across boundaries within the organization.
  1. Consistently demonstrates ability and willingness to trust others.


Global Perspective

 Agree Unsure Disagree N/A
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Engages in problem solving with individuals outside of the country.
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Is able to work with individuals having different backgrounds and cultures.



  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.