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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.



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Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Knows how to produce high quality products/work.
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
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Competency
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Exhibits this
Competency
  1. Verifies understanding throughout discussions.
  1. Conducts regular performance feedback discussions with individuals and teams
  1. Comes across as comfortable and effective as a public speaker
  1. Ready to offer feedback, even if it involves tough critiques.
  1. Delivers information in a clear, concise, and logical manner.
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
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Exhibits this
Competency
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Exhibits this
Competency
  1. Approves purchase requests in a timely manner.
  1. Is not afraid to take action when necessary.
  1. Uses strategies to stay ahead of potential challenges at work.
  1. Moves forward on important projects.
  1. Effectively handles multiple complex issues simultaneously.
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. Takes responsibility for things that go wrong
  1. Delegate tasks effectively
  1. Is ready to offer help
  1. Keep staff informed about what is happening in the company
  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
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Competency
Always
Exhibits this
Competency
  1. Updates the documentation as soon as the situation changes.
  1. Takes corrective action to address performance deficiencies/issues.
  1. Immediately informs the HR Department of any personnel complaints or issues.
  1. Anticipates what needs to be done and makes necessary preparations.
  1. Seizes upon chances to improve the department's prospects.
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. Gives employees the opportunity to make their own decisions at work.
  1. Trusts employees with important responsibilities.
  1. Sets clear goals for others to accomplish.
  1. Supports the decisions of others.
  1. Allows employees to organize their schedule to best accomplish the job.
Please feel free to provide any comments to help explain your answers?

Developing Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Exhibits this
Competency
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Exhibits this
Competency
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Exhibits this
Competency
  1. Provides constructive feedback to others.
  1. Tries to ensure employees are ready to move to the next level.
  1. Is open to receiving feedback.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Encourages employees through recognition of positive changes in behavior.
Please feel free to provide any comments to help explain your answers?

Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Forms working relationships with employees from other departments.
  1. Treats others with respect and dignity.
  1. Respects the opinions of other employees.
  1. Able to see issues from others' perspectives.
  1. ...treats others with respect and dignity.
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. Cooperates with others on a global scale.
  1. Forms strong client relationships with international partners.
  1. Attends training seminars and conferences to increase skills in working with others globally.
  1. Able to work with others from different cultures and countries.
  1. Able to listen and understand others and discuss issues in a respectful way.
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.