HR-Survey > 360-Degree Feedback > Competency Model

Technical Skills - 360 Degree Feedback Survey Sample #9





360 Feedback Survey

Questionnaires Measuring Technical Skills:
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)
Instructions

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 comment section for that competency. 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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

  • Seeks information from others as needed.
  • Demonstrates mastery of the technical competencies required in his/her work.
  • Knows how to produce high quality products/work.
  • Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  • Willingly shares information and expertise; sought out as resource by others

Technical

Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Integrity

  • Accepts responsibility for mistakes.
  • Maintains strong relationships with others.
  • Fosters a high standard of ethics and integrity.
  • Follows tasks to completion.
  • Does what was promised.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Management

  • Takes responsibility for things that go wrong
  • Delegate tasks effectively
  • Makes you feel enthusiastic about your work
  • Is ready to offer help
  • Sets an example for others to follow
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Client Focus

  • Understands the needs of the client.
  • Makes client's needs a top priority.
  • Consistently exceeds client expectations.
  • Delivers on commitments made to clients.
  • Fosters an environment that supports strong client focus.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Co-worker Development

  • Provides ongoing feedback to co-workers on their development progress
  • Sets and clearly communicates expectations, performance goals, and measurements to others
  • Works to identify root causes of performance problems
  • Takes immediate action on poor performance
  • Adapts coaching and mentoring approach to meet the style or needs of individuals
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Strengths


Areas for Development


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