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Information Technology- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Information Technology:
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:
Information Technology, Critical Thinking, Adaptability, Initiative, Passion To Learn, Managing Performance, Interpersonal Skills, Customer Focus, Emotional Intelligence
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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Information Technology

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Listens attentively to understand user issues and context.
  1. Knows how to assess vendor capabilities, product maturity, and support models to determine suitability for organizational needs.
  1. Assesses the operational strategies that support the successful execution of important initiatives.
  1. Integrates data from multiple systems to support applications, analytics, and strategic decision-making.
  1. Implements improved operational methods and system-support protocols that increase efficiency and strengthen service delivery.
If [Participant Name] were to make improvements in Information Technology, what are your suggestions for how he/she can improve this?

Critical Thinking

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Exhibits sound judgement in selecting data that illuminates key variables and trade-offs.
  1. Applies structured analysis to distill complex information into clear, actionable insights.
  1. Adjusts course when initial assumptions prove inaccurate or incomplete.
  1. Correctly determines when more information is needed.
  1. Inclined to be flexible and avoids rigid thinking.
If [Participant Name] were to make improvements in Critical Thinking, 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. Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
  1. Effective in working with different personnel of the team.
  1. Changes direction of projects if needed to accommodate new criteria or constraints.
  1. Flexible in adapting to dynamic situations.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Initiative

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes on extra projects after required work is completed.
  1. Encourages others on the team to suggest process improvements.
  1. Takes appropriate actions to address problems or issues.
  1. Anticipates problems and initiates plans to address them.
  1. Initiates automation or tooling to reduce future manual workload or bottlenecks.
If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?

Passion To Learn

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Holds self and associates accountable for goal achievement.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Enjoys learning new skills and techniques.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?

Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Gradually expands the scope of an employee's role as their competence and confidence increase, ensuring growth is both challenging and achievable.
  1. Uses pre-established key benchmarks to measure performance.
  1. Implements remediation plans that include specific performance goals in areas most in need of improvement.
  1. Continuously measures performance and provides feedback to employees regularly.
  1. Identifies the Key Performance Indicators (KPIs) for the position.
If [Participant Name] were to make improvements in Managing Performance, what are your suggestions for how he/she can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Offers constructive criticism to have a positive impact on performance.
  1. Is a committed and reliable partner.
  1. Respects other members of the team/department.
  1. Anticipates the concerns of other employees.
  1. Expresses appreciation of other's work.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Customer Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Responds to the needs of the customer.
  1. Effectively solves customer-related problems.
  1. Is aware of the customer's needs.
  1. Is aware of expectations from customers.
  1. Treats every customer interaction as an opportunity to build trust and goodwill.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Emotional Intelligence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Able to understand others' points of view.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Accurately perceives the emotional reactions of others.
If [Participant Name] were to make improvements in Emotional Intelligence, 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.