HR-Survey > 360-Degree Feedback > Competency Model

Vision- 360 Degree Feedback Survey Sample #7





360 Feedback Survey

Surveys Measuring Vision:
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

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, 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.

Sample Result Document:
Sample Results
In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Vision

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Entrusts team members with executing the vision.
  1. Facilitates employees' adoption of the organization vision.
  1. Identifies problems and crafts solutions.
  1. Communicates the vision effectively across the organization to motivate and guide employees.
  1. Adept at creating and actualizing a strategic roadmap for the organization.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

Strategic Insight

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Creates strategies that significantly benefit the Company.
  1. Converses with customers and clients to get a better insight into their personal needs.
  1. Observes employees at work to get better insight into the issues they are dealing with.
  1. Ensures that the department's goals are strategically aligned with the company's goals.
  1. Attends industry conferences to gain further insight into how other companies deal with similar issues.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?

Negotiation

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Is resolute when stating priorities and non-negotiables.
  1. Stays focused and avoids getting sidetracked by less important issues.
  1. Assesses the validity and relevance of each piece of information, considering the context and source.
  1. Identifies verbal and nonverbal cues to help interpret actions and messages.
  1. Is an effective negotiator, fostering positive relationships and achieving good outcomes.
If [Participant Name] were to make improvements in Negotiation, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Moves forward on important projects.
  1. Makes decisions confidently and stands by them.
  1. Anticipates critical incidents in the department and takes steps to mitigate their effect.
  1. Undertakes actions to achieve specific goals.
  1. Takes the initiative to address problems sooner rather than later.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Views setbacks as opportunities to learn from.
  1. Shares best practices with others and learns from others.
  1. Is open to new ideas and concepts.
  1. Pursues learning that will enhance job performance.
  1. Takes charge of their training and skills enhancement.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Persuasion and Influence

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Develops a good rapport with others.
  1. Attempts to persuade others rather than simply control them.
  1. Able to express own goals and needs.
  1. Understanding what others need.
  1. Persuades others to consider alternative points of view.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Decision Making

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Is open to listening to others who may have different ideas.
  1. Carefully evaluates information before making an important decision.
  1. Determines constraints that may impact what decisions are acceptable.
  1. Views the long and short-term impact of decisions.
  1. Weighs the pros and cons of decisions.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Technology Use/Management

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Maximizes the use of new technology to deliver products and services.
  1. Uses technology in decision making and problem solving.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Adopts the implementation of new technology into the workplace.
  1. Understands and is committed to implementing new technologies.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

Regulatory/Compliance

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Offers training on various subjects to help ensure employees are aware of regulations.
  1. Investigates risk mitigation strategies.
  1. Formulates compliance policies and procedures.
  1. Provides direction and oversight for the compliance department.
  1. Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


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