HR-Survey > 360-Degree Feedback > Competency Model

Strategic Insight- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Surveys Measuring Strategic Insight:
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





Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates strategies that significantly benefit the Company.
  1. Understands how to strategically grow the business and increase customers.
  1. Creates a mission statement describing the purpose for the organization.
  1. Identifies potential problems before they become critical incidents.
  1. Analyzes records and reports to obtain insight into potential issues and trends.


Business Acumen

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops business plans that are forward looking.
  1. Understands complex issues and problems.
  1. Periodically assesses the current market environment.
  1. Collects valuable customer insights to ensure our services meet their needs.
  1. Understands the costs, profits, markets, and added value of issues.


Flexibility

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Able to maintain productivity and effectiveness no matter the context.
  1. Fosters a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
  1. Delivers a variety of products that vary in type and volume.
  1. Willing to try new approaches to solving problems if the current solution isn't working.
  1. Permits flexible working and flex-time to accommodate employee needs to meet external obligations.


Bias for Action

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Displays high energy and enthusiasm on consistent basis.
  1. Motivates others to achieve or exceed goals
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Completes work on time


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Is open to feedback from others.
  1. Is committed to enhancing their own knowledge and skills.
  1. Will participate in training classes even if offered outside of normal working hours.


Leadership

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Sets a high level of performance expectations and challenges others to do the same.
  1. Expresses clear goals and objectives.
  1. Gives direct, constructive, and actionable feedback.
  1. Demonstrates leadership and courage in critical situations.
  1. Takes ownership and accountability for results


Results Oriented

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is a high achiever.
  1. Determines the objectives for the project.
  1. Sets benchmarks and milestones to measure progress toward the objectives.
  1. Gives extra effort to solve problems and get work done on time.
  1. Prioritizes goals to complete those in urgent need first.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Tries to ensure employees are ready to move to the next level.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Creates opportunities for professional development.
  1. Is open to receiving feedback.
  1. Assesses employees' developmental needs.



  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.