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Technical Skills - 360 Degree Feedback Survey Sample #5





360-Degree Assessment 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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



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Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Knows how to produce high quality products/work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Seeks information from others as needed.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Demonstrates mastery of the technical competencies required in his/her work.


Managing Risk

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Uses data from the purchasing department to anticipate possible supply chain risks.
  1. Identifies the most significant risks from business operations.
  1. Seeks to increase safety in the workplace.
  1. Creates dynamic and responsive enterprise risk management processes.
  1. Establishes the context for risk management activities.
  1. Recognizes the potential financial impact of specific risks.
  1. Is concerned about process safety management.


Responsible

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Responsible for setting the vision of the department.
  1. Acts as a resource without removing individual responsibility.
  1. Holds herself / himself accountable to goals / objectives
  1. Sets a good example.
  1. Behavior is ethical and honest.
  1. ...takes personal responsibility for results.
  1. Sets high personal standards of performance.


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Enhances value to the company through additional training and development.
  1. Critiques own performance and learns from experience as a source of continuous improvement.
  1. Is highly motivated to learn new skills.
  1. Is open to feedback from others.
  1. Inspires others to learn new things.
  1. Holds self and associates accountable for goal achievement.
  1. Demonstrates through personal behavior the commitment to high standards of performance.


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Involves relevant coworkers in the development of the plan.
  1. Establishes and monitors timeframes and timelines.
  1. Purchases equipment and software that will be needed in the future.
  1. Initiates the planning process by defining the scope of the project.
  1. Develops plans to help manage expectations and project demands.
  1. Is able to follow the plan set in place.
  1. Able to balance the needs of multiple stakeholders in developing the plan for the division.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Shapes the department's vision into actionable goals.
  1. Committed to undertaking the implementation of the strategic vision.
  1. Cultivates an environment that embodies the department's vision.
  1. Encourages cross-functional collaboration to break silos and accelerate vision execution.
  1. Develops a vision to inspire collective action.
  1. Determined to bring the strategic vision to fruition.
  1. Develops strategies that align with the organization's collective vision.



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






  2. Strengths


  3. Areas for Development


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