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Information Technology - 360 Degree Feedback Survey Sample #5





360-Degree Assessment 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)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



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Information Technology

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Delivers high quality IT services for the organization.
  1. Knows how to develop and execute unit, integration, and acceptance tests to ensure reliability and performance.
  1. Ensures that critical system knowledge (such as configurations, integrations, and architectural decisions) is documented and accessible so the team is never dependent on a single expert.
  1. Maintains a data operating model that maps where data originates, how it moves through systems, and how it supports business processes.
  1. Provides users with status updates and expected resolution timelines.
  1. Relies on risk-management checklists to guide the development of IT controls that maintain system stability and reduce operational risk.
  1. Conducts root-cause analysis of issues and coordinate the necessary technical actions, resources, and teams to implement effective solutions.


Business Acumen

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Weighs alternatives and selects practical solutions.
  1. Meets with customers to gain insights into their core needs and how to strategically serve them.
  1. Possesses a clear grasp of the company's financial indicators.
  1. Considers impact of actions on other areas of the organization.
  1. Maintains currency with laws, regulations, policies, procedures, trends, and developments.
  1. Implements long-term strategic solutions to critical problems.
  1. Can effectively interpret and analyze data.


Project Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Encourages open communication among team members, helping them share updates, concerns, and ideas that strengthen project execution.
  1. Assigns project roles to the team members.
  1. Implements risk mitigation strategies to help move the project to successful completion.
  1. Translates complex project details into clear, actionable messages so team members and stakeholders understand expectations, risks, and next steps.
  1. Communicates the results of the project, at the conclusion, to all stakeholders.
  1. Acquires and allocates internal and external resources needed for the project.
  1. Builds confidence and capability by coaching team members, providing constructive feedback, and developing employee skills.


Analytical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Checks that the information is both precise and up-to-date.
  1. Establishes connections between different pieces of information to see the bigger picture.
  1. Measures and assesses the potential loss in value of a portfolio under normal market conditions.
  1. Evaluates evidence objectively, regardless of whether it supports or contradicts current ideas.
  1. Gathers information from a variety of sources.
  1. Evaluates evidence impartially, especially when it challenges existing beliefs or ideas.
  1. Analyzes data to meet the needs of clients.


Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Participates in technical communities, webinars, and forums to stay informed on industry developments.
  1. Integrates technical roadmaps with broader operational or product strategies.
  1. Assigns tasks based on assessed technical proficiency to ensure work is completed efficiently.
  1. Designs and delivers technical workshops tailored to team needs and skill gaps.
  1. Implements technical standards and benchmarks to maintain a competitive edge in the industry.
  1. Adapts emerging tools and platforms to meet evolving business needs.
  1. Engages in peer learning by shadowing experts or participating in cross-functional technical reviews.


Collaboration

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Has the confidence and trust of other partners.
  1. Builds strong interpersonal relationships for more effective collaboration.
  1. Readily shares information with other group members.
  1. Communicates decisions, changes, and expectations promptly so the team can adjust and stay aligned.
  1. Creates an environment of open and transparent communication.
  1. Is a trustworthy and credible partner.
  1. Shares information with others.


Managing Performance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Conveys expectations for meeting performance metrics.
  1. Collaborates with the employee to identify root causes of performance gaps and incorporates those insights into a tailored improvement plan.
  1. Ensures employees understand their performance expectations.
  1. Assigns additional responsibilities to facilitate internal employee promotions.
  1. Conducts objectives and key results (OKR) assessments on a quarterly basis.
  1. Uses increased responsibility as a structured development tool, aligning new duties with the employee's long-term career path and readiness.
  1. Identifies specific actions to be addressed through the remediation plan.


Persuasion and Influence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Responds to challenges with composure, modeling emotional steadiness during uncertainty or conflict.
  1. Persuades others to consider alternative points of view.
  1. Maintains a high personal and professional reputation.
  1. Anticipates questions and provides well-reasoned, evidence-backed responses that reinforce the strength of their position.
  1. Encourages employees to experiment with new approaches by highlighting how other industries or teams have successfully tackled similar challenges.
  1. Ensures stakeholders are involved in the decision-making process.
  1. Regularly celebrates progress toward the vision, reinforcing momentum and belief in the journey.


Goals

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Understands the reasons for assigned goals.
  1. Monitors the completion of tasks and milestones against the timeline.
  1. Reprioritizes goals when organizational needs shift, ensuring effort is focused where it will have the greatest impact.
  1. Recognizes each person's strengths and needs to foster a collaborative environment for achieving shared goals.
  1. Aids and facilitates attainment of departmental goals.
  1. Establishes goals that guide towards continuous growth and improvement.
  1. Maintains clarity on which goals require immediate attention and which can be advanced incrementally over time.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Strengths


  3. Areas for Development


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