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)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

Sample Result Document:
Sample Results
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. Willingly shares information and expertise; sought out as resource by others
  1. Knows how to produce high quality products/work.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Seeks information from others as needed.


Agree Unsure Disagree N/A
  1. Able to adapt to new situations.
  1. Encourages others to adopt new procedures.
  1. Is open to alternative ways to accomplish goals
  1. Adapts to new organizational structures, policies, or procedures.
  1. Implements changes as a result of having listened to employees

Bias for Action

Agree Unsure Disagree N/A
  1. Motivates others to achieve or exceed goals
  1. Displays high energy and enthusiasm on consistent basis.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Encourages risk taking and experimentation to improve performance
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).

Continual Learning

Agree Unsure Disagree N/A
  1. Builds on their strengths while addressing their weaknesses.
  1. Participates in regular training offered.
  1. Is open to new ideas and concepts.
  1. Takes the initiative to learn new skills.
  1. Sets relevant learning objectives and goals.


Agree Unsure Disagree N/A
  1. Accepts the views of others.
  1. Open to the suggestions of others.
  1. Asks others for their ideas and opinions.
  1. Shares past experiences with others as learning opportunities.
  1. Seeks feedback to enhance performance.


Agree Unsure Disagree N/A
  1. Achieves goals.
  1. Achieves established goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Makes sure that I have a clear idea of our group's goals.

Change Management

Agree Unsure Disagree N/A
  1. Assists others in understanding changes to the organization.
  1. Adopts changes to set and example for others to follow.
  1. Supports the Company's efforts to implement changes.
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Effective in implementing new organizational vision and values.


Agree Unsure Disagree N/A
  1. Sets long-term and short-term goals.
  1. Encourages me to take on greater responsibility.
  1. Establishes goals and objectives.
  1. Ability to establish realistic goals.
  1. Effectively organizes resources and plans


Agree Unsure Disagree N/A
  1. Completes assigned work tasks.
  1. ...takes personal responsibility for results.
  1. Behavior is ethical and honest.
  1. Acts as a resource without removing individual responsibility.
  1. Responsible for setting the vision of the department.


Agree Unsure Disagree N/A
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Provides clear, motivating, and constructive feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Addresses employee behavior problems effectively.


Agree Unsure Disagree N/A
  1. Says "thank you" to show appreciation for work of others.
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Is sincerely interested in the suggestions of co-workers
  1. Compliments other people when they do good work
  1. Recognizes team members who offer a significant contribution to a project.

Strategic Insight

Agree Unsure Disagree N/A
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Formulates policies and strategies for addressing the Company's important challenges.
  1. Implements long-term solutions to problems.
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Analyzes unique issues or problems impacting the Company.

  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.