This document contains a questionnaire for evaluating competencies using a 5-point rating scale. It lists 10 competencies and asks the respondent to rate their performance on each using the scale. The competencies include developing people, values and ethics, communication, resolving conflict, interpersonal understanding, achievement orientation, initiative, influencing/motivation, developing others, and managing change. For each competency there are 1-3 descriptive statements that provide more details about what is being rated.

1. Questionnaire
Name……………………………………….
Please rate each competency using the 5-point rating scale
Exercises outstanding performance on this competency
5
Exercises very good performances on this competency
4
Exercises quite acceptable performance on this competency
3
Performance on this competency is not quite up to acceptable standards. A
development is needed 2
Performance on this competency fails to meet acceptable standards. A major
development is needed 1
Please tick ‘ ’ what you feel most appropriate
1. Developing people
1 Empowers and trains people 5 4 3 2 1
2 Provides rewards, feedback and recognition 5 4 3 2 1
3 Communicates effectively with people 5 4 3 2 1
2. Values and ethics
1 Aligns with right values by ensuring the standards & 5 4 3 2 1
specifications are kept
3. Communication
1 Communicate effectively with the people 5 4 3 2 1
4. Resolving Conflict
1 In an uncertain ambiguous environment, taking an 5 4 3 2 1
appropriate decision without much delay
5. Interpersonal Understanding
1 Listening skills: Listen to others views with patience 5 4 3 2 1
2 Show empathy to others feelings 5 4 3 2 1

2. 6. Achievement Orientation
1 Sets & achieve ambitious goals 5 4 3 2 1
2 Drive continuous improvements 5 4 3 2 1
7. Initiative
1 Take voluntary steps to address existing and potential 5 4 3 2 1
problems at the work place
8. Influencing/Motivation
1 Encourage people to work towards goals 5 4 3 2 1
9 .Developing Others
1 Empowers and trains people 5 4 3 2 1
2 Provides rewards, feedback and recognition 5 4 3 2 1
3 Communicates effectively with people 5 4 3 2 1
10. Managing Change
1 Responds to the needs of instant situation & make decision 5 4 3 2 1
for long-term goals
2 Consider the scope of change 5 4 3 2 1