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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)
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



Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Seeks information from others as needed.
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Knows how to produce high quality products/work.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Is knowledgeable of procedures or systems necessary for the job.


Managing Risk

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
  1. Attends risk management seminars and conferences.
  1. Perceives the risks of different work tasks and activities.
  1. Committed to implementing rules and procedures to minimize risk.
  1. Gathers information regarding potential risks.
  1. Performs regular risk analyses to minimize adverse outcomes.
  1. Performs a risk analysis as needed.


Responsible

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Completes assigned work tasks.
  1. Sets high personal standards of performance.
  1. Sets a good example
  1. Is a person you can trust.
  1. Acts as a resource without removing individual responsibility.
  1. Sets a good example.
  1. Responsible for setting the vision of the department.


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates a willingness to learn new things.
  1. Enrolls in certification classes when available.
  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. Enrolls in continuing education courses.
  1. Persists until goals are achieved and commitments are met.
  1. Demonstrates a willingness to participate in continuing education courses.


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Purchases equipment and software that will be needed in the future.
  1. Efficiently manages deadlines.
  1. Establishes a course of action for self and others to accomplish specific goals.
  1. Creates to-do lists to make sure nothing is missed.
  1. Able to look ahead (beyond the present) when addressing the work/needs of the department.
  1. Always has a "Plan-B" ready if needed.
  1. Is able to follow the plan set in place.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates consistency between words and actions
  1. Communicates the vision and strategy of [Company]
  1. Communicates a vision of where the Company needs to be in the future.
  1. Creates a positive vision of the future for the Company.
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Leads employees in new directions.
  1. Clearly articulates a vision for his/her work and inspires others to support it



  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.