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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.
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Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Implements AI throughout the production process.
  1. Evaluates patterns in cross-system data (e.g., throughput, error rates, cycle times) to identify where technology can create measurable performance gains or reduce operational risks.
  1. Encourages knowledge sharing among staff to build collective technical capability, reducing reliance on single points of expertise.
  1. Builds internal "technology champions" or super-users who can mentor peers, model effective use, and provide first-line support during and after implementation.
  1. Reviews technical requirements, integration needs, and vendor claims to validate that proposed technologies meet functional, security, and compliance standards for the department.
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. Directs or coordinates the supportive services department of a business, agency, or organization.
  1. Uses encrypted or approved communication channels when transmitting confidential data.
  1. Navigates disagreements or tension professionally, helping parties reach constructive outcomes.
  1. Adjusts schedules proactively when conflicts, delays, or new priorities arise, ensuring work continues smoothly.
  1. Works well even under strict time constraints.
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. Open to new ideas.
  1. Reframes challenges in unexpected ways.
  1. Considers problems from multiple angles to uncover new approaches.
  1. Creates environments where imagination is welcomed, modeling openness and signaling that creative risk-taking is valued.
  1. Uses creativity to streamline workflows and reduce friction.
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
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. Translates complex technical or strategic issues into accessible language that motivates action.
  1. Frames difficult feedback or challenges in terms of observed behaviors and verifiable impact.
  1. Gets people to change their minds and alter the way they do things.
  1. Knows when, where, and how to act based on the context.
  1. Exhibits expertise in the matter and is able to convince others in the best course of action.
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. Maintains clarity in goals and objectives.
  1. Avoids stating unclear or conflicting goals.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Clearly defines work objectives for employees.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
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. Is an effective advocate for recognition programs in the department/organization.
  1. Creates awards or recognition for specific service anniversary dates.
  1. Gives recognition and appreciation fairly.
  1. Uses recognition to reinforce and accelerate organizational priorities such as collaboration, innovation, or customer focus.
  1. Recognizes learning behaviors (such as skill acquisition, experimentation, or constructive risk-taking) to encourage continuous development.
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. Weighs alternatives and selects practical solutions.
  1. Understands and applies business and financial principles.
  1. Maintains currency with laws, regulations, policies, procedures, trends, and developments.
  1. Has a good understanding of liabilities and assets.
  1. Effectively troubleshoots customer business issues.
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. Creates reasonable and timely policies regarding social media.
  1. Documents and follows standard maintenance procedures to help ensure production schedules remain on track.
  1. Fosters a work environment where employees feel energized and valued.
  1. Emphasizes the importance of teamwork at the Company.
  1. Builds strong partnerships with local organizations, schools, and nonprofits to advance shared goals.
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. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Monitors spending.
  1. Provides budgeting and accounting support to the Company.
  1. Effective in using Company's resources.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
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.