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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. Adopts the implementation of new technology into the workplace.
  1. Understands and is committed to implementing new technologies.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Uses technology in decision making and problem solving.
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. Prepares and sends email communications, meeting invitations, or follow-up messages on behalf of individuals or teams.
  1. Prepares business forms for approval/signature.
  1. Carefully listens to what others are saying.
  1. Coordinates actions and activities with others.
  1. Processes payroll information.
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. Creates opportunities for self-directed creative inquiry.
  1. Seeks out diverse viewpoints to enrich creative problem-solving.
  1. Open to new ideas.
  1. Considers problems from multiple angles to uncover new approaches.
  1. Regularly asks probing questions to uncover deeper possibilities.
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. 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. Analyzes interpersonal problems instead of reacting to them.
  1. Steps away from a situation to process appropriate response.
  1. Does not allow own emotions to interfere with the performance of others.
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 influence others to meet certain goals.
  1. Has the support of the team members.
  1. Builds an interpersonal rapport with clients and customers to more successfully persuade them to purchase specific products.
  1. Gets others to adopt new positions or ways of doing things.
  1. Changes how employees value customer relationships and influences them to focus more on long-term satisfaction.
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 stating unclear or conflicting goals.
  1. Seeks to reduce ambiguity in messaging and documents.
  1. Communicates with clarity and efficiency.
  1. Maintains clarity in goals and objectives.
  1. Makes sure employees understand why they were given certain assignments.
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. Offers recognition in a timely manner.
  1. Creates awards at specific intervals (monthly, quarterly, annually) during the year.
  1. Readily shares credit and gives others opportunity for visibility.
  1. Creates an employee-of-the-month award to recognize high performing employees.
  1. Accompanies recognition with specific examples of how the employee's work made a difference for the department/organization.
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. Calculates return on investment (ROI) for various business projects.
  1. Fosters a critical analysis of events and issues.
  1. Develops business plans that are forward looking.
  1. Periodically assesses the current market environment.
  1. Understands financial terminology, statements.
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. Makes a real difference in the communities we serve.
  1. Creates a culture where employees feel proud of how they treat one another and work together.
  1. Makes sure the work environment is safe and easy to work in.
  1. Provides corporate trainers that are experts in their respective fields.
  1. Staffs the department to an adequate level.
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. Monitors expenses and verifies the need for items purchased.
  1. Develops budgets and plans for various programs and initiatives.
  1. Monitors spending.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  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.