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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. 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. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Willingly shares information and expertise; sought out as resource by others
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  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


Managing Risk

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Reduces risk to a manageable level.
  1. Seeks to increase safety in the workplace.
  1. Evaluates the probability of a risk event occurrence.
  1. Monitors enterprise risk management activities for their impact and effectiveness on mitigating risks.
  1. Ensures that any risky decisions taken are based on informed decision making.
  1. Determines the risk tolerance of the company.
  1. Creates a risk management strategy for the organization.


Responsible

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Acts as a resource without removing individual responsibility.
  1. Sets a good example
  1. Holds herself / himself accountable to goals / objectives
  1. Works in a way that makes others want to work with her/him.
  1. Sets a good example.
  1. Sets high personal standards of performance.
  1. Is a person you can trust.


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Sees feedback from others as an opportunity to learn and advance professionally.
  1. Seeks to increase skill set.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Keeps up-to-date with their skills.
  1. Creates an environment that supports personal development and exploration.


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Initiates the planning process by defining the scope of the project.
  1. Accurately estimates the amount of materials/supplies needed for the project.
  1. Plans for future staffing needs.
  1. Able to balance the needs of multiple stakeholders in developing the plan for the division.
  1. Sets the appropriate sequence of tasks to ensure completion of the project.
  1. Encourages others to follow the plan.
  1. Develops proper plans to ensure seamless flow of materials through logistics.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Adept at creating and actualizing a strategic roadmap for the organization.
  1. Shapes the department's vision into actionable goals.
  1. Establishes the direction and strategy for the organization.
  1. Creates and executes a strategic vision that drives the company's growth forward.
  1. Demonstrates consistency between words and actions
  1. Devoted to carrying out the strategic vision.
  1. Brings the strategic vision to fruition by planning, coordinating, and executing necessary actions, while ensuring the team meets the overarching goals of the organization.



  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.