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Technical Skills - 360 Degree Feedback Survey Sample #4





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)
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.

Sample Result Document:
Sample Results
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
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Seeks information from others as needed.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Knows how to produce high quality products/work.

Accountability

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Holds employees accountable for completing the project successfully.
  1. Demonstrates a commitment to taking responsibility for actions.
  1. Tackles issues head on and finds solutions.
  1. Consistently strives to complete work on time or ahead of schedule.
  1. Works to achieve established goals.

Integrity

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Follows tasks to completion.
  1. Demonstrates honesty and truthfulness at all times.
  1. Maintains strong relationships with others.
  1. Protects the integrity and confidentiality of information
  1. Accepts responsibility for mistakes.

Passion To Learn

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Is open minded and curious about learning new skills.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Stays up-to-date on emerging technologies.
  1. Enhances value to the company through additional training and development.
  1. Exhibits willingness to upgrade skills through additional training and education.

Supervisory Skills

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Spends time to actively listen to the grievance.
  1. Empowers employees to make their own decisions in the field.
  1. Encourages employees to achieve their full potential.
  1. Fosters an environment that supports open communication.
  1. Treats all staff equitably.

Analytical

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Determines if sources of information are reputable, reliable, and credible.
  1. Applies critical and analytical thinking to the situation.
  1. Identifies discrepancies and inconsistencies in reports.
  1. Able to interpret financial data, reports, balance sheets, and cash flow analysis.
  1. Reviews tasks, deadlines, and resources needed to ensure smooth completion of the project.

Decision Making

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Receptive to new ideas from others when making decisions.
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  1. Is aware of the impact of decisions and informs others about potential outcomes.
  1. Views the long and short-term impact of decisions.
  1. Weighs the pros and cons of decisions.

Initiative

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Is proactive when preparing for potential problems or critical events.
  1. Initiates important conversation topics at meetings.
  1. Capitalizes on opportunities as they become available.
  1. Prepares for unexpected contingencies.
  1. Takes the initiative to solve pressing issues.

Customer Focus

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
  1. Makes customer's needs a top priority.
  1. Identifies opportunities that will enhance the customer's experience.
  1. Adapts to changing customer needs.
  1. Manages customer accounts with high degree of competence.

Negotiation

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Able to adapt to changing situations.
  1. Researches the needs of the other party to identify strengths and weaknesses of positions.
  1. Tailors approaches to more effectively address current demands.
  1. Combines the valid points from each source to form a comprehensive and balanced perspective.
  1. Alters plans to respond to immediate challenges.

Company

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Impresses upon others the important aspects of [Company].
  1. Follows existing procedures and processes.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Attends [Company] gatherings and social events.
  1. Understands how decisions impact other business units beyond their immediate department of work group.


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






  2. Would you refer others who are seeking employment to [Company]?


    Please provide explanation:


  3. 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?


  4. What changes do you see [Company] making in order to raise the standards?


  5. I feel good about my continued employment with [Company].


    If no, please provide explanation:


  6. What do you like best about working for [Company]?


  7. What do you like least about working for [Company]? How could it be improved?


  8. Use the space below to enter any final comments you would like to be noted: