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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, Continual 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. Supports employee training and development initiatives regarding implementation of technology.
  1. Uses technology in decision making and problem solving.
  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. Adopts the implementation of new technology into the workplace.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
Usually
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Competency
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Competency
  1. Seeks information from others as needed.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Knows how to produce high quality products/work.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Please feel free to provide any comments to help explain your answers?

Continual Improvement

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. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.
  1. Open to the suggestions from others.
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. Invoices clients on a timely basis.
  1. Responds to requests for information in a timely manner.
  1. Starts meetings on time.
  1. Conducts appointments at scheduled start time.
  1. Arrives to meetings on time.
Please feel free to provide any comments to help explain your answers?

Attitude

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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Exhibits this
Competency
  1. Approachable and easy to talk to.
  1. Models a growth mindset by sharing what they're learning in real time.
  1. Sets personal goals to raise the standard of excellence within their role.
  1. Responds constructively to last-minute changes and shifting priorities, without frustration or resistance, and with a positive attitude.
  1. Embraces unexpected challenges with a calm, solution-oriented mindset.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
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Exhibits this
Competency
  1. Able to anticipate quality issues and take preventative actions.
  1. Influences others to achieve high quality standards.
  1. Understands and uses established quality procedures/controls.
  1. Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
  1. Develops measures of the success of quality initiatives.
Please feel free to provide any comments to help explain your answers?

Trustworthy

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
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Competency
  1. Delivers on promises made.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Takes care to maintain confidential information.
  1. Builds and maintains the trust of others.
  1. Takes ownership, delivers on commitments
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. Works in a way that makes others want to work with her/him.
  1. Is a person you can trust.
  1. Holds herself / himself accountable to goals / objectives
  1. Sets a good example
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
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Competency
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Competency
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Competency
  1. Converses with customers and clients to get a better insight into their personal needs.
  1. Uses knowledge, benchmarking and performance metrics to evaluate strategic effectiveness and identify areas for improvement.
  1. Ensures that the department's goals are strategically aligned with the company's goals.
  1. Meets with customers to gain insight into their core needs and how best to serve them.
  1. Recognizes when strategic plans are no longer relevant due to environmental or organizational changes.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Communicates a vision of where the Company needs to be in the future.
  1. Promotes a vision that inspires individuals to take risks to achieve greater rewards.
  1. Motivates employees to align with the department's vision.
  1. Is skilled at recognizing various issues that arise and formulates practical and strategic solutions to resolve them efficiently.
  1. Demonstrates consistency between words and actions
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.