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

Action - 360 Degree Feedback Survey Sample #14

360 Feedback Survey 2025

Instructions
Questionnaires Measuring Action:
Our company is administering a new web-based survey tool which is Survey 1 (4-point scale; Competency Comments)
designed to gather broad feedback as it relates to core Survey 2 (4-point scale; Competency Comments)
competencies and role responsibilities that are important for the on- Survey 3 (5-point scale; Competency Comments)
going success of our organization. The Leadership Team Members Survey 4 (5-point scale; radio buttons)
have agreed to participate and are seeking your feedback. Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
You have been chosen to offer feedback for the manager mentioned Survey 7 (5-point scale; competency comments; N/A)
earlier. Your input plays a crucial role in Yes's leadership Survey 8 (3-point scale; Agree/Disagree words; N/A)
development journey. This tool aims to collect comprehensive Survey 9 (3-point scale; Strength/Development; N/A)
feedback on core competencies and responsibilities that are vital for Survey 10 (Comment boxes only)
our organization's continued success. Your feedback will be Survey 11 (Single rating per competency)
combined with others to ensure your anonymity. Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
In Survey 14 (4-point scale; N/A)
Competencies Included:
Action, Feedback, Establishing Focus/Direction,
Administrative Skill, Juggling Multiple Responsibilities,
Safety, Collaboration, Business Acumen

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 Sample Result Document:
Levels. Click on the level that best describes this individual. Sample Results

Please ensure that your submission is made between November 3

and November 16.

Could Benefit Performs Is a

Needs from as Role Model Don't
Action Improvement Development Expected for Others Know

1. Takes preemptive actions avoid obstacles or delays.

2. Fixes problems when they occur.

3. Avoids "Analysis Paralysis" through action.

4. Starts immediately working on assignments.

5. Makes decisions confidently and stands by them.

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 6. Identifies opportunities for improvement before there
is a problem.

7. Is proactive rather than reactive in work.

8. Identifies needs and takes steps to address them.

9. Converts plans into actions.

If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Could Benefit Performs Is a

Needs from as Role Model Don't
Feedback Improvement Development Expected for Others Know

10. Conducts regular feedback sessions, such as one-on-

one meetings or performance reviews, to help maintain
ongoing communication and ensure that employees
stay on track with their development goals.

11. Is easy to approach with ideas and opinions.

12. Focuses constructive criticism on specific behaviors or

outcomes rather than personal attributes.

13. Regularly revisits past feedback to evaluate progress

and recalibrate efforts.

14. Responds quickly to performance concerns or

achievements, avoiding unnecessary delays.

15. Equips managers with essential tools, training, and

support to guarantee feedback is constructive, timely,
and actionable.

16. Creates an atmosphere that supports and encourages

dialogue, enabling employees to develop the necessary
skills to effectively seek, provide, and receive feedback.

17. Utilizes feedback in a manner that prioritizes

professional development and avoids any misuse.

18. Recognizes feedback as a vital catalyst for personal and

professional development.

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 If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Could Benefit Performs Is a

Needs from as Role Model Don't
Establishing Focus/Direction Improvement Development Expected for Others Know

19. Ensures that each team member is assigned some part

of the project.

20. Provides training or mentorship to help guide

employees in the department.

21. Focuses employee activities on the main goals for the

department.

22. Motivates and inspires the team by connecting their

objectives to the organization's.

23. Aligns the team's efforts, energy, and focus on a shared

goal.

24. Sets production assignments for the department.

25. Aligns resource planning with departmental goals and

organizational priorities.

26. Identifies gaps in infrastructure or support and

proactively addresses them.

27. Creates structured timelines that provide clarity and

reduce ambiguity.

If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how
he/she can improve this?

Could Benefit Performs Is a

Needs from as Role Model Don't
Administrative Skill Improvement Development Expected for Others Know

28. Reviews documents for grammatical, spelling, or

formatting errors to ensure accuracy and
professionalism.

29. Proofreads and edits documents to ensure accuracy,

clarity, and consistency.

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 30. Effectively conveys information verbally to others.

31. Prepares invoices, reports, memos, letters, financial

statements, and other documents, using word
processing, spreadsheet, database, or presentation
software.

32. Analyzes RFQs or RFIs to understand the client's needs,

specifications, and evaluation criteria.

33. Collaborates with others from various departments

(e.g., sales, engineering, finance) to ensure accurate and
comprehensive responses.

34. Carefully listens to what others are saying.

35. Implements company records retention policies.

36. Plans for the completion of projects by allocating

appropriate physical and personnel resources.

If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can
improve this?

Could Benefit Performs Is a

Needs from as Role Model Don't
Juggling Multiple Responsibilities Improvement Development Expected for Others Know

37. Coordinates the work of a team by assigning tasks to

other team members.

38. Determines which tasks are critical and which tasks are
optional.

39. Recognizes and responds to product placement and

signing needs while staying alert to customers' needs,
store activities and training associates.

40. Ensures that assignments are prioritized according to

the needs of the department/company.

41. Completes multiple tasks simultaneously.

42. Switches attention to more urgent tasks when

necessary.

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 43. Is aware of the deadlines for specific tasks/assignments.

44. Observes, analyzes, and responds to merchandise

needs while serving customers and accomplishing
operational tasks.

45. Begins tasks as soon as possible.

If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how
he/she can improve this?

Could Benefit Performs Is a

Needs from as Role Model Don't
Safety Improvement Development Expected for Others Know

46. Develops safety guidelines for the department.

47. Supports our company's safety programs.

48. Participates in safety training when offered.

49. Participates in safety training as applicable.

50. Develops a culture of safety.

51. Ensures compliance with safety regulations.

52. Creates accurate and effective measures of safety.

53. Encourages others to work safely.

54. Supports safety programs and procedures.

If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

Could Benefit Performs Is a

Needs from as Role Model Don't
Collaboration Improvement Development Expected for Others Know

55. Creates a culture that fosters and values collaboration.

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 56. Fosters a collaborative work environment where
everyone feels committed to achieve common goals.

57. Guides team members to reconcile their differences

and collaborate effectively.

58. Develops networks and builds alliances across

departments.

59. Facilitates resolving differences to strengthen team

unity.

60. Rewards collaborative efforts of team members.

61. Works with others to achieve common objectives.

62. Addresses interpersonal issues with a collaborative

mindset.

63. Displays a high degree of trust and credibility.

If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve
this?

Could Benefit Performs Is a

Needs from as Role Model Don't
Business Acumen Improvement Development Expected for Others Know

64. Anticipates the consequences to the business of

different potential risk events.

65. Understands and applies business and financial

principles.

66. Fosters a critical analysis of events and issues.

67. Prioritizes risks based on an understanding of their

possible impact to the company.

68. Analyzes current business practices to make better

informed decisions.

69. Understands the financial metrics used by the

company.

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 70. Describes and summarizes data.

71. Facilitates creativity and innovation in individuals by

helping them understand different aspects of the
business.

72. Thoroughly understands the business needs of the

customer.

If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can
improve this?

73. Strengths

74. Areas for Development

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

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