Technical Skills - 360 Degree Feedback Survey Sample #8

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)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Seeks information from others as needed.
  1. Willingly shares information and expertise; sought out as resource by others
  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


Agree Unsure Disagree N/A
  1. Adapts to new organizational structures, policies, or procedures.
  1. Open to the perspectives/viewpoints of others.
  1. Can handle changes without complaining.
  1. Willing to try new ideas.
  1. Identifies new opportunities to achieve goals

Bias for Action

Agree Unsure Disagree N/A
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Encourages risk taking and experimentation to improve performance
  1. Displays high energy and enthusiasm on consistent basis.

Continual Learning

Agree Unsure Disagree N/A
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Sets relevant learning objectives and goals.
  1. Builds on their strengths while addressing their weaknesses.
  1. Pursues self-improvement through continual learning.
  1. Shares best practices with others and learns from others.


Agree Unsure Disagree N/A
  1. Considers other's opinion and suggestions.
  1. Asks others for their ideas and opinions.
  1. Is visible and approachable.
  1. Is easy to approach with ideas and opinions.
  1. Seeks feedback to enhance performance.


Agree Unsure Disagree N/A
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Establishes and documents goals and objectives.
  1. Understands & contributes to development of strategic goals.
  1. Goal Setting

Change Management

Agree Unsure Disagree N/A
  1. Effective in dealing with ambiguous and challenging situations.
  1. Adopts changes to set and example for others to follow.
  1. Works cooperatively with others to implement changes.
  1. Assists others in understanding changes to the organization.
  1. Effective in implementing new organizational vision and values.


Agree Unsure Disagree N/A
  1. Effectively organizes resources and plans
  1. Ability to establish realistic goals.
  1. Able to organize work.
  1. Establishes goals and objectives.
  1. Works toward achieving established goals and objectives.


Agree Unsure Disagree N/A
  1. Is a person you can trust.
  1. Completes assigned work tasks.
  1. Works in a way that makes others want to work with her/him.
  1. Sets high personal standards of performance.
  1. Holds herself / himself accountable to goals / objectives


Agree Unsure Disagree N/A
  1. Helps employees to maintain high personal standards.
  1. Addresses employee behavior problems effectively.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Provides clear, motivating, and constructive feedback.
  1. Develops the skills and capabilities of others.


Agree Unsure Disagree N/A
  1. Finds opportunities to recognize others.
  1. Is sincerely interested in the suggestions of co-workers
  1. Lets employees know when they have done well
  1. Says "thank you" to show appreciation for work of others.
  1. Recognizes individuals for a specific outstanding achievement.

Strategic Insight

Agree Unsure Disagree N/A
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Identifies potential problems before they become critical incidents.
  1. Identifies root causes of problems.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. Analyzes records and reports to obtain insight into potential issues and trends.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.