Technical Skills - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Technical Skills:
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)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. 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 over the last 12 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 combined with the responses received from others and a report will be generated for you 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:
Technical, Excellence, Adaptability, Leadership, Persuasion and Influence, Decision Making, Juggling Multiple Responsibilities, Achievement, Trustworthy, Recognition, Fiscal Management
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


Technical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You know how to produce high quality products/work.
  1. You willingly share your technical expertise; sought out as resource by others
  1. You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
  1. You are knowledgeable of procedures or systems necessary for the job.
  1. You are naturally sought out by people outside your particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
If you were to make improvements in Technical, what are your suggestions for how you can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are planful and organized.
  1. You take a lot of pride in your work.
  1. You demonstrate the analytical skills to do your job.
  1. You can be counted on to add value wherever you are involved.
  1. You keep yourself and others focused on constant improvement.
If you were to make improvements in Excellence, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are proactive and takes steps to prepare for changes in the workplace.
  1. You are able to adjust to new plans and procedures.
  1. You are able to respond to incidents without stopping the workflow.
  1. You can take on new assignments.
  1. You are able to step in and help co-workers when needed.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You set clear goals and objectives for subordinates.
  1. You motivate and challenges employees to attain a shared vision.
  1. You set a high level of performance expectations and challenges others to do the same.
  1. You are able to organize the work of others.
  1. You are able to align manpower, design work, an allocate tasks to achieve goals.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Persuasion and Influence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You develop a good rapport with others.
  1. You understand what others need.
  1. You have excellent influencing/negotiating skills.
  1. You ensure stakeholders are involved in the decision making process.
  1. You communicate effectively with others.
If you were to make improvements in Persuasion and Influence, what are your suggestions for how you can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I make good decisions for the Department.
  1. I am able to learn from my mistakes.
  1. You are willing to change your strategy if new information arises.
  1. You apply creative reasoning in making decisions.
  1. You seek input from key people who should be involved in, or will be affected by, decisions
If you were to make improvements in Decision Making, what are your suggestions for how you can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You assess current capabilities before committing to new requests from customers.
  1. You organize tasks for the most efficient order of completion.
  1. You ensure that assignments are prioritized according to the needs of the department/company.
  1. You assign tasks based on skills of team members.
  1. You switch attention to more urgent tasks when necessary.
If you were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how you can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You take immediate action of projects that fall behind schedule.
  1. You take calculated risks to achieve higher levels of performance.
  1. I create impactful reports for the re-organization committee.
  1. I work to meet required benchmarks for the position.
  1. I take calculated risks to achieve significant rewards.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You demonstrate congruence between statements and actions.
  1. You are trustworthy; is someone that can be trusted.
  1. You work in a way that makes others want to work with you.
  1. You take ownership, deliver on commitments
  1. You consistently keep commitments.
If you were to make improvements in Trustworthy, what are your suggestions for how you can improve this?

Recognition

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You reinforce and reward employees for accomplishing necessary goals.
  1. You make people around them feel appreciated and valued.
  1. You recognize team members who offer a significant contribution to a project.
  1. You offer recognition in a timely manner.
  1. You recognize the abilities and skills of self and others
If you were to make improvements in Recognition, what are your suggestions for how you can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You ensure others follow the correct rules and regulations on fiscal matters.
  1. You monitor spending.
  1. You keep excellent records for financial transparency.
  1. You develop of the department's annual budget.
  1. You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
If you were to make improvements in Fiscal Management, what are your suggestions for how you 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.