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
Seeks information from others as needed.
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.
Knows how to produce high quality products/work.
Demonstrates mastery of the technical competencies required in his/her work.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares his/her technical expertise; sought out as resource by others
Is knowledgeable of procedures or systems necessary for the job.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
Attends risk management seminars and conferences.
Perceives the risks of different work tasks and activities.
Committed to implementing rules and procedures to minimize risk.
Gathers information regarding potential risks.
Performs regular risk analyses to minimize adverse outcomes.
Performs a risk analysis as needed.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completes assigned work tasks.
Sets high personal standards of performance.
Sets a good example
Is a person you can trust.
Acts as a resource without removing individual responsibility.
Sets a good example.
Responsible for setting the vision of the department.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a willingness to learn new things.
Enrolls in certification classes when available.
Enhances value to the company through additional training and development.
Critiques own performance and learns from experience as a source of continuous improvement.
Enrolls in continuing education courses.
Persists until goals are achieved and commitments are met.
Demonstrates a willingness to participate in continuing education courses.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Purchases equipment and software that will be needed in the future.
Efficiently manages deadlines.
Establishes a course of action for self and others to accomplish specific goals.
Creates to-do lists to make sure nothing is missed.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Always has a "Plan-B" ready if needed.
Is able to follow the plan set in place.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates consistency between words and actions
Communicates the vision and strategy of [Company]
Communicates a vision of where the Company needs to be in the future.
Creates a positive vision of the future for the Company.
Expresses the Company vision in a way that is easily understood and adopted by employees.
Leads employees in new directions.
Clearly articulates a vision for his/her work and inspires others to support it

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.