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HR-Survey > 360-Degree Feedback > Competency Model > Achievement Skills

Achievement - 360 Degree Feedback Survey Sample #2

October 30, 2025

Instructions
Questionnaires Measuring Achievement:
You have been selected to provide feedback on the employee listed Survey 1 (4-point scale; Competency Comments)
above. Your feedback is an important part of our company's Survey 2 (4-point scale; Competency Comments)
leadership development process and this survey is intended to Survey 3 (5-point scale; Competency Comments)
gather broad feedback in the core competencies and role Survey 4 (5-point scale; radio buttons)
responsibilities that are important for the on-going success of our Survey 5 (4-point scale; words)
organization. Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
In responding to the questions below, think about your experiences Survey 8 (3-point scale; Agree/Disagree words; N/A)
working with this employee over the last twelve months and the Survey 9 (3-point scale; Strength/Development; N/A)
goals they were asked to achieve. The effectiveness of this Survey 10 (Comment boxes only)
development tool is dependent on your honest, forthright and Survey 11 (Single rating per competency)
constructive responses so please bear this in mind as you answer Survey 12 (Slide-bar scale)
each question. Your responses will be discussed with the employee Survey 13 (4-point scale; numbers; floating anchors)
to foster growth and on-going development. Survey 14 (4-point scale; N/A)

Competencies Included:
Achievement, Performance, Clarity, Client Focus,
Persuasion and Influence, Co-worker Development,
Creativity, Self Management, Leadership, Company, Fiscal
Management

Partially completed forms can be saved by using the Save/Still

Working button at the bottom of the page. You may return at a Sample Result Document:
later time to complete/edit the form. Your saved responses will be Sample Results
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 between October 31 and November 13. The survey will only be available during these
dates.

Achievement Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

1. Establishes "stretch" goals to continuously elevate performance

standards.

2. Strives for operational excellence by refining workflows and

optimizing procedures.

3. Establishes stretch goals to advance skills and output.

4. Executes tasks with precision and speed.

5. Has an intense drive to exceed expectations.

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 What are your suggestions for how [Participant Name] can make improvements
in Achievement?

Performance Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

6. Works well in this position.

7. Listens and responds to issues and problems

8. Shown significant improvement in job performance.

9. Effective in performing his/her job.

10. Sets a high standard for job performance.

What are your suggestions for how [Participant Name] can make improvements
in Performance?

Clarity Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

11. Uses appropriate grammar and tense in communications.

12. Adjusts communication methods to the needs of the audience.

13. Clearly explains responsibilities to individuals.

14. Provides a clear vision for the future.

15. Seeks to reduce ambiguity in messaging and documents.

What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Client Focus Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

16. Supports client focused policies and procedures.

17. Accepts responsibility for ensuring client satisfaction.

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 18. Persistent in solving client issues.

19. Views client satisfaction as an everyday priority.

20. Delivers on commitments made to clients.

What are your suggestions for how [Participant Name] can make improvements
in Client Focus?

Persuasion and Influence Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

21. Balances assertiveness and collaboration to reach outcomes that

align with both organizational priorities and stakeholder interests.

22. Strategically shapes communication to align with broader business

priorities, ensuring that influence efforts support long-term
organizational goals.

23. Gathers data and stakeholder perspectives in advance to anticipate

resistance and tailor persuasive approaches.

24. Prepares visual aids, storytelling elements, or analogies in advance to

reinforce complex points.

25. Does not sacrifice personal values to try to win over others.

What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Co-worker Development Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

26. Provides ongoing feedback to co-workers on their development

progress

27. Works to identify root causes of performance problems

28. Gives others development opportunities through project

assignments and increased job responsibilities

29. Takes immediate action on poor performance

30. Adapts coaching and mentoring approach to meet the style or needs
of individuals

What are your suggestions for how [Participant Name] can make improvements
in Co-worker Development?

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 Creativity Capable Could Needs
Clear and Benefit from Significant
Strength Effective Development Improvement

31. Adapts creative strategies from outside the organization to fit the
team's needs.

32. Demonstrates a commitment to ongoing learning, recognizing that

creativity stems from new knowledge and experiences.

33. Discovers new ways of doing things through careful observation and
analysis.

34. Connects with peers across functions to spark new thinking.

35. Gives employees a sense of security that their ideas will be

supported.

What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Self Management Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

36. Uses patience and self-control in working with customers and

associates.

37. Consciously controls own negative emotions in order to keep team

morale up.

38. Steps away from a situation to process appropriate response.

39. Analyzes own reactions on the spot to ensure that communication

does not appear to be driven by anger.

40. Analyzes interpersonal problems instead of reacting to them.

What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Leadership Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

41. Recognizes and celebrates accomplishments while addressing areas

for growth.

42. Removes performance barriers by providing necessary systems,

information, tools, and resources people need to do their jobs and
develop.

43. Fosters team cooperation, builds trust among team members and
creates commitment to team goals.
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 44. Holds employees accountable for their actions and consequences of
their failures.

45. Sets clear goals and objectives for subordinates.

What are your suggestions for how [Participant Name] can make improvements
in Leadership?

Company Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

46. Monitors resource utilization to ensure cost-effectiveness without

compromising quality.

47. Outlines expected behaviors and helps determine ethical standards

across all levels of the organization.

48. Ensures employees have all the tools and equipment needed to
maintain production schedules.

49. Helps employees see how their work contributes to building

something enduring and meaningful.

50. Sets up a work environment for the department that is clean and
quiet.

What are your suggestions for how [Participant Name] can make improvements
in Company?

Fiscal Management Capable Could Needs

Clear and Benefit from Significant
Strength Effective Development Improvement

51. Monitors spending.

52. Develops of the department's annual budget.

53. Develops budgets and plans for various programs and initiatives.

54. Provides budgeting and accounting support to the Company.

55. Effective in using Company's resources.

What are your suggestions for how [Participant Name] can make improvements
in Fiscal Management?

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 56. Strengths

57. Areas for Development

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

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