Technical Skills - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Seeks information from others as needed.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Demonstrates mastery of the technical competencies required in his/her work.
Is knowledgeable of procedures or systems necessary for the job.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes full responsibility for project outcomes.
Defines roles, rights, and responsibilities of employees.
Exhibits good governance in their role as an executive.
Exhibits a sense of ownership of the process.
Consistently strives to meet high standards of excellence.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fosters an environment built upon trust.
Fosters a high standard of ethics and integrity.
Follows tasks to completion.
Maintains strong relationships with others.
Protects the integrity and confidentiality of information
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds self and associates accountable for goal achievement.
Is open to feedback from others.
Enhances value to the company through additional training and development.
Creates an environment that supports personal development and exploration.
Demonstrates a willingness to participate in continuing education courses.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes assessments in a timely manner.
Sets the objectives to be completed for the shift.
Has a strong work ethic that inspires others.
Uses persuasion rather than threats of disciplinary action.
Communicates effectively to avoid issues, conflicts and errors on the job.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes various actions to be taken when solving a problem.
Asks the "right" questions to size up or evaluate situations.
Identifies opportunities for progress and innovation.
Balances risks and costs with the rewards and probabilities of success when decisions.
Selects the appropriate techniques for analysis.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Applies creative reasoning in making decisions.
Stays focused on the main objective when making decisions.
Views the long and short-term impact of decisions.
Acts confidently in the absence of guidance.
Willing to consider information from other sources.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates problems and initiates plans to address them.
Initiates draft documents for the director.
Takes the initiative to complete tasks ahead of schedule.
Gladly seeks additional responsibilities.
Takes on additional tasks without being asked or told to do so.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates new and innovative products for customers.
Focuses on providing excellent customer service.
Uses feedback from customers to help improve services.
Provides training to others on how to improve customer service.
Uses feedback from the customer to help improve the customer's experience.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes good working relationships with others.
Able to distinguish and navigate between different negotiation strategies and styles.
Creates a decisive, team-oriented environment; clarifies goals; and outlines a strategic agenda.
Actively listens to conversations to be able to recall important details later.
Is resolute in positions to build trust and predictability.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.

56. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
58. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
59. What changes do you see [Company] making in order to raise the standards?
    
    
    
60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
61. What do you like best about working for [Company]?
    
    
    
62. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: