Technical Skills - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

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.

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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
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Knows how to produce high quality products/work.
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.
Is knowledgeable of procedures or systems necessary for the job.
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares his/her technical expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a risk profile for projects and teams.
Implements changes to reduce the chances of critical incidents in the future.
Is aware of process safety management.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Accurately perceives potential risks in the workplace and initiates preventative measures.
Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
Knows how to obtain desired results with minimal losses.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Responsible for setting the vision of the department.
Completes assigned work tasks.
Behavior is ethical and honest.
Sets a good example.
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
...takes personal responsibility for results.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Embraces new technology and procedures.
Is open minded and curious about learning new skills.
Will participate in training classes even if offered outside of normal working hours.
Desire to gain knowledge and enhance skills.
Enrolls in continuing education courses.
Is highly motivated to learn new skills.
Is committed to enhancing their own knowledge and skills.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes plans and follows through.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Works in an organized manner
Delegates role to team members to accomplish goals.
Able to identify the needs of the department before a major change.
Anticipates obstacles and ways to overcome them.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates the vision and strategy of [Company]
Demonstrates consistency between words and actions
Works to support the strategy of [Company]
Creates a positive vision of the future for the Company.
Clearly articulates a vision for his/her work and inspires others to support it
Understands the vision of the Company and promotes it ahead of any self-interests.
Expresses the Company vision in a way that is easily understood and adopted by employees.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
44. Strengths
    
    
    
45. Areas for Development
    
    
    
46. Please give any final comments or suggestions for [Participant Name Here]'s assessment.