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

Initiative - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Initiative:
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:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

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.

Competencies Included:
Initiative, Juggling Multiple Responsibilities, Adaptability, Self Management, Leadership, Achievement, Excellence, Trustworthy, Coaching, Entrepreneurship, Fiscal Management
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Initiative

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Does things without being told.
  1. Takes appropriate actions to address problems or issues.
  1. Takes the initiative to start work on new projects.
  1. Acts quickly when a small problem arises to keep it from becoming a major issue.
  1. Expands the offerings of the department by working evenings and weekends.
  1. Initiates important conversation topics at meetings.
  1. Proactively identifies and removes barriers that inhibit progress without waiting for direction.
  1. Identifies emerging trends or shifts in the business environment and takes the initiative to adjust plans accordingly.
  1. Independently seeks out new learning opportunities to improve their skills.
If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Switches attention to more urgent tasks when necessary.
  1. Keeps track of multiple assignments and deadlines.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. Determines which tasks are critical and which tasks are optional.
  1. Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Adjusts to the new vision and mission of the company.
  1. Flexible and open to new ideas and encourages others to recognize the value of change.
  1. Adapts leadership style to meet the needs created by changes in personnel of the department.
  1. Changes to meet new priorities within the department/organization.
  1. Handles unexpected events without a loss of productivity.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Self Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Uses patience and self-control in working with customers and associates.
  1. Steps away from a situation to process appropriate response.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Expects continuous learning, skill-building, and professional growth from employees.
  1. Demonstrates leadership and courage in critical situations.
  1. Maintains high expectations for performance.
  1. Implements Philosophy/Mission-based initiatives within work environment and monitors results
  1. Holds employees accountable for their actions and consequences of their failures.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes calculated risks to achieve difficult goals.
  1. Tracks and evaluates team efforts to align actions with long-term strategic objectives.
  1. Develops and follows systematic plans that ensure timely delivery of results and organizational impact.
  1. Leverages the strengths and expertise of colleagues to maximize productivity and impact.
  1. Sets ambitious standards of performance.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Produces high quality work.
  1. Keeps themselves and others focused on constant improvement.
  1. Takes a lot of pride in their work.
  1. Can be counted on to add value wherever they are involved.
  1. Is planful and organized.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes ownership, delivers on commitments
  1. Is a person you can trust.
  1. Works in a way that makes others want to work with her/him.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Builds and maintains the trust of others.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is attentive to the needs of others
  1. Gives feedback based on specifics and facts.
  1. Gives the employee time and space to respond to questions asked.
  1. Fosters a safe and supportive environment that encourages honesty and engagement.
  1. Listens to subordinates thoughts, ideas, and input.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Encourages dynamic growth opportunities.
  1. Able to adapt the department to changing business demands and climate.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Finds unique ways to go around barriers to success.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops of the department's annual budget.
  1. Keeps excellent records for financial transparency.
  1. Develops budgets and plans for various programs and initiatives.
  1. Effective in using Company's resources.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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