Technology Use/Management - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Technology Use/Management:
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)
Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Competencies Included:
Technology Use/Management, Administrative Skill, Creativity, Self Management, Persuasion and Influence, Clarity, Recognition, Business Acumen, Company, Fiscal Management
Sample Result Document:
Sample Results
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.

Please ensure that your submission is made between . The survey will only be available during these dates.


Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Proficient in the use of technical systems and processes.
  1. Maximizes the use of new technology to deliver products and services.
  1. Supports technical training and development of employees.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Supports employee training and development initiatives regarding implementation of technology.
What are your suggestions for how [Participant Name] can make improvements
in Technology Use/Management?

Administrative Skill

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. High attention to detail.
  1. Has strong technical/computer skills.
  1. Implements and uses performance measures.
  1. Able to develop, justify and present a budget.
  1. Takes responsibility for decisions.
What are your suggestions for how [Participant Name] can make improvements
in Administrative Skill?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Adds value to the department/organization.
  1. Develops solutions to challenging problems.
  1. Conceives, implements and evaluates ideas.
  1. Creates a lot of new ideas.
  1. Is creative.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Steps away from a situation to process appropriate response.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Able to express own goals and needs.
  1. Has excellent influencing/negotiating skills.
  1. Communicates effectively with others.
  1. Persuades others to consider alternative points of view.
  1. Ensures stakeholders are involved in the decision making process.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Avoids creating ambiguity or mixed messages.
  1. Uses appropriate grammar and tense in communications.
  1. Adjusts communication methods to the needs of the audience.
  1. Clearly explains responsibilities to individuals.
  1. Communicates ideas and facts clearly and effectively in writing.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Recognition

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Readily shares credit and gives others opportunity for visibility.
  1. Compliments other people when they do good work
  1. Is sincerely interested in the suggestions of co-workers
  1. Finds opportunities to recognize others.
  1. Makes people around them feel appreciated and valued.
What are your suggestions for how [Participant Name] can make improvements
in Recognition?

Business Acumen

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is up-to-date with regulatory guidelines and policies.
  1. Conducts thorough market research to understand industry trends, customer needs, and competitive landscapes.
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Understands cash flow procedures and statements.
  1. Considers impact of actions on other areas of the organization.
What are your suggestions for how [Participant Name] can make improvements
in Business Acumen?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Impresses upon others the important aspects of [Company].
  1. Follows existing procedures and processes.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
What are your suggestions for how [Participant Name] can make improvements
in Company?

Fiscal Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Provides budgeting and accounting support to the Company.
  1. Monitors expenses and verifies the need for items purchased.
  1. Keeps excellent records for financial transparency.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Develops budgets and plans for various programs and initiatives.
What are your suggestions for how [Participant Name] can make improvements
in Fiscal Management?


  1. Strengths


  2. Areas for Development


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