Technical Skills - 360 Degree Feedback Survey Sample #9

360 Feedback 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)

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 comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

What does Technical mean?
It means that ...
  • You seek information from others as needed.
  • You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
  • You willingly share information and expertise; sought out as resource by others
  • You are naturally sought out by people outside your particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  • You demonstrate mastery of the technical competencies required in your work.

To what extent does this person exhibit Technical?
Select from one of the ratings below.



What does Analytical mean?
It means that ...
  • You identifiy opportunities for progress and innovation.
  • You select the appropriate techniques for analysis.
  • You analyze issues and reduces them to your component parts.
  • You analyze data and information from several sources and arrives at logical conclusions.
  • You balance risks and costs with the reward and probabilities of success when decisions.

To what extent does this person exhibit Analytical?
Select from one of the ratings below.


What does Adaptability mean?
It means that ...
  • You are able to recognize the potential benefits of change, and create an infrastructure which supports change.
  • You are proactive and takes steps to prepare for changes in the workplace.
  • You are flexible and open to new ideas and encourages others to value change.
  • You work effectively in dynamic and changing work environments.
  • You develop insights and apply innovative solutions to projects and problems.

To what extent does this person exhibit Adaptability?
Select from one of the ratings below.

Change Management

What does Change Management mean?
It means that ...
  • You adopt changes to set and example for others to follow.
  • You are effective in implementing new organizational vision and values.
  • You support new initiatives for organizational changes to improve effectiveness.
  • You support the Company's efforts to implement changes.
  • You address organizational and departmental resistance to changes.

To what extent does this person exhibit Change Management?
Select from one of the ratings below.


What does Company mean?
It means that ...
  • You understand the use of [Company] products and services.
  • You understand how decisions impact other business units beyond your immediate department of work group.
  • You express loyalty and dedication to [Company] in interactions with others.
  • You understand the "basics" as to how [Company] functions/operates.
  • You impress upon others the important aspects of [Company].

To what extent does this person exhibit Company?
Select from one of the ratings below.


Areas for Development

Please give any final comments or suggestions for [Participant Name Here]'s assessment.