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Technology Use/Management - 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Technology Use/Management, Technical, Continuous Improvement, Punctuality, Attitude, Quality, Trustworthy, Responsible, Strategic Insight, Vision
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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



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Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops a culture of digital transformation driving higher rates of AI adoption and usage.
  1. Monitors how technology changes affect team morale, workload, and confidence, and intervenes early with coaching, support, or workload adjustments to maintain engagement.
  1. Uses workflow data (such as cycle times, error rates, or throughput) to guide continuous refinement.
  1. Ensures technology responsibilities are clearly defined within job roles.
  1. Encourages knowledge sharing among staff to build collective technical capability, reducing reliance on single points of expertise.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Builds dashboards and KPIs to monitor system health and team performance.
  1. Informs and educates department staff on technical issues.
  1. Applies technical analysis to meet the needs of the team.
  1. Trains team members on the effective and safe use of specialized tools and equipment, ensuring consistent standards and minimizing misuse or downtime.
  1. Designs new technical solutions to meet the needs of the project.
Please feel free to provide any comments to help explain your answers?

Continuous Improvement

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Model best-practice approaches to work.
  1. Maintains management systems that drive ongoing improvements in effectiveness and reliability.
  1. Analyzes processes to determine areas for improvement.
  1. Establishes key performance metrics and targets.
  1. Takes part in training to expand continuous improvement capabilities.
Please feel free to provide any comments to help explain your answers?

Punctuality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Competency
  1. Conducts appointments at scheduled start time.
  1. Starts the workday when scheduled.
  1. Avoids making personal phone calls during working hours.
  1. Starts meetings on time.
  1. Invoices clients on a timely basis.
Please feel free to provide any comments to help explain your answers?

Attitude

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Is sensitive and understanding toward those with a less than positive attitude.
  1. Builds open and trusting relationships.
  1. Encourages others to overcome resistance to change.
  1. Expresses sincere appreciation for others' efforts -- regardless of how routine or behind-the-scenes they may be.
  1. Supports alternative approaches and encourages creative problem-solving when roadblocks arise.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Recognizes their role in promoting quality and safety in the workplace.
  1. Coordinates scheduling so QC activities occur at the right time without disrupting production.
  1. Responds to issues immediately.
  1. Addresses issues as soon as possible.
  1. Leads the department in quality improvement initiatives.
Please feel free to provide any comments to help explain your answers?

Trustworthy

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Reinforces trust by ensuring every deliverable meets or exceeds quality benchmarks.
  1. Demonstrates integrity by ensuring words and actions match.
  1. Promotes clarity by openly discussing context, constraints, and reasoning behind decisions.
  1. Shows commitment to customers by holding work to a high standard of excellence.
  1. Is a person you can trust.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Completes assigned work tasks.
  1. ...takes personal responsibility for results.
  1. Is a person you can trust.
  1. Behavior is ethical and honest.
  1. Sets high personal standards of performance.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Attends industry conferences to gain further insight into how other companies deal with similar issues.
  1. Identifies emerging trends by monitoring shifts in employee behavior, customer feedback, and market dynamics.
  1. Recognizes the needs of customers.
  1. Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
  1. Communicates with employees to find out their needs.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
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Competency
Seldom
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Competency
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Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Recognizes and rewards behaviors that are consistent with the company's vision.
  1. Shapes a vision that strengthens cultural cohesion by showing how team and organizational success depend on adopting the company's values.
  1. Crafts a compelling vision that motivates employees to align their efforts with the organization's goals.
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Develops a vision that is a catalyst for innovation and change.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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