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.

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.







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. Uses technology in decision making and problem solving.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Proficient in the use of technical systems and processes.
  1. Understands and is committed to implementing new technologies.
  1. Supports employee training and development initiatives regarding implementation of technology.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Demonstrates mastery of the technical competencies required in his/her work.
  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
  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.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Promotes training and development opportunities to enhance job performance.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Open to the suggestions from others.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to improve work processes and procedures.
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
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Arrives to meetings on time.
  1. Conducts appointments at scheduled start time.
  1. Starts meetings on time.
  1. Responds to requests for information in a timely manner.
  1. Maintains an efficient schedule of activities.
Please feel free to provide any comments to help explain your answers?

Attitude

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Builds open and trusting relationships.
  1. Contributes to a positive work environment.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Visibly supports and encourages diversity in style and background.
  1. Treats all people fairly and with respect.
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
Always
Exhibits this
Competency
  1. Communicates with team members regarding best quality practices.
  1. Creates a culture of quality standards in the workplace.
  1. Consistently provides timely, accurate, and reliable information on quality measures.
  1. Develops and maintains quality control checklists for the manufacturing department.
  1. Systematically and thoroughly inspects products for consistency in meeting specifications.
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
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Takes ownership, delivers on commitments
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Works in a way that makes others want to work with her/him.
  1. Is a person you can trust.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. ...takes personal responsibility for results.
  1. Holds herself / himself accountable to goals / objectives
  1. Sets a good example.
  1. Is a person you can trust.
  1. Sets a good example
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Works with others to develop insights into the resources and actions required to produce desired results.
  1. Observes employees at work to get better insight into the issues they are dealing with.
  1. Strategically aligns projects to the goals of the company.
  1. Develops a strategic vision for the future.
  1. Implements long-term solutions to problems.
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
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Designs a forward-thinking strategy to achieve the department's growth goals.
  1. Charts a bold course for the department's rapid evolution and expansion.
  1. Is able to diagnose issues and problems and to create a vision for their solutions.
  1. Creates a timeline to fulfill the organization's vision.
  1. Plans a roadmap for the department's growth and expansion.
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.