Technical Skills - 360 Degree Feedback Survey Sample #3





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

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Technical, Communication Skills, Action, Management, Initiative, Empowering Others, Developing Others, Others, Global Perspective
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

Please ensure that your submission is made between . The survey will only be available during these dates.




Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Knows how to produce high quality products/work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Seeks information from others as needed.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. An effective listener who is responsive to information needs.
  1. Addresses issues of key importance to stakeholders.
  1. Delivers information in a clear, concise, and logical manner.
  1. Communicates with department leadership
  1. Gives clear and convincing presentations.
Please feel free to provide any comments to help explain your answers?

Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Creates performance measures to ensure action by the department.
  1. Motivates & supports others to gain skills
  1. Takes corrective action when necessary.
  1. Immediately develops alternatives and solutions when presented with a problem or issue.
  1. Displays high energy and enthusiasm on consistent basis.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company
  1. Makes you feel enthusiastic about your work
  1. Is ready to offer help
  1. Sets an example for others to follow
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Takes the initiative to solve pressing issues.
  1. Does the right thing without being told.
  1. Acts quickly to address any issues or problems.
  1. Acts quickly when an opportunity becomes available.
  1. Analyzes the needs of the situation and acts before being told to do so.
Please feel free to provide any comments to help explain your answers?

Empowering Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Allows the employees to have flexible work schedules.
  1. Encourages employees to think outside the box.
  1. Allows employees to organize their schedule to best accomplish the job.
  1. Values the expertise that others bring to the team.
  1. Encourages employees to solve problems on their own.
Please feel free to provide any comments to help explain your answers?

Developing Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Recognizes and celebrates accomplishments of others.
  1. Encourages employees through recognition of positive changes in behavior.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Assesses employees' developmental needs.
Please feel free to provide any comments to help explain your answers?

Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Respects the opinions of other employees.
  1. Able to see issues from others' perspectives.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Forms working relationships with employees from other departments.
  1. Consistently demonstrates ability and willingness to trust others.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Respects individual differences.
  1. Facilitates open communication with individuals from other countries.
  1. Cooperates with others on a global scale.
  1. Exemplifies the skills of a global worker.
  1. Able to work with others from different cultures and countries.
Please feel free to provide any comments to help explain your answers?

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






  2. Strengths


  3. Areas for Development


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