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)
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.

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. Supports employee training and development initiatives regarding implementation of technology.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Adopts the implementation of new technology into the workplace.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Maximizes the use of new technology to deliver products and services.
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. Accurately implements contract provisions.
  1. Takes responsibility for decisions.
  1. Implements and uses performance measures.
  1. Completes reports on-time.
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. Is creative.
  1. Develops solutions to challenging problems.
  1. Is creative and inspirational.
  1. Inspires creativity in their team.
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. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  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. Attempts to persuade others rather than simply control them.
  1. Communicates effectively with others.
  1. Has excellent influencing/negotiating skills.
  1. Ensures stakeholders are involved in the decision making process.
  1. Develops a good rapport with others.
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. Attends to the important details of a job or task.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Provides a clear vision for the future.
  1. Clearly defines work objectives for employees.
  1. Checks details thoroughly.
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 sincerely interested in the suggestions of co-workers
  1. Compliments other people when they do good work
  1. Says "thank you" to show appreciation for work of others.
  1. Recognizes individuals for a specific outstanding achievement.
  1. Recognizes team members who offer a significant contribution to a project.
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. Understands and applies business and financial principles.
  1. Facilitates creativity and innovation in individuals by helping them understand different aspects of the business.
  1. Assists others in understanding business changes.
  1. Anticipates customer's business needs.
  1. Understands how strategic decisions impact constituents within the Company.
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. Attends [Company] gatherings and social events.
  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. Understands the use of [Company] products and services.
  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. Keeps excellent records for financial transparency.
  1. Provides budgeting and accounting support to the Company.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Monitors expenses and verifies the need for items purchased.
  1. Develops of the department's annual budget.
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.