HR-Survey > 360-Degree Feedback > Competency Model

Trustworthy - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Trustworthiness:
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



Trustworthy

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Consistently keeps commitments.
  1. Demonstrates congruence between statements and actions.
  1. Is a person you can trust.
  1. Takes ownership, delivers on commitments


Administrative Skill

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Able to develop, justify and present a budget.
  1. Strong organizational skills to keep the workspace and department in order
  1. High attention to detail.
  1. Completes reports on-time.
  1. Enthusiastic about taking on challenging projects.


Flexibility

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is open to alternative ways to accomplish goals
  1. Able to adapt to new situations.
  1. Adapts to new organizational structures, policies, or procedures.
  1. Willing to try new ideas.
  1. Identifies new opportunities to achieve goals


Attitude

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is gracious and professional in their interactions with others.
  1. Treats all people fairly and with respect.
  1. Builds open and trusting relationships.
  1. Contributes to a positive and fun work environment.
  1. Visibly supports and encourages diversity in style and background.


Emotional Intelligence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is able to manage their own emotions.
  1. Accurately perceives the emotional reactions of others.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to express themselves clearly.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.


Managing Performance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Aligns individual and team performance expectations with the organization's expectations.
  1. Reviews job performance shortly after completion of tasks.
  1. Implements remediation plans with follow up after 3 months.
  1. Holds the team accountable for meeting objectives.
  1. Ensures employees are accountable for meeting OKRs.


Safety

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Performs work safely.
  1. Keeps accurate safety records.
  1. Participates in safety training when offered.
  1. Develops safety guidelines for the department.
  1. Supports safety programs and procedures.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates consistency between words and actions
  1. Persuades others to follow the Company's vision.
  1. Creates a common vision for others.
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Behaves in a way that is consistent with business values & code of conduct



  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.