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Technology Use/Management - 360 Degree Feedback Survey Sample #5


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)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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 by .

Thank you for your participation in the survey.

Management Team



Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Uses technology in decision making and problem solving.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Supports technical training and development of employees.
  1. Maximizes the use of new technology to deliver products and services.


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Actively seeks to learn by asking questions and listening to all store associates.
  1. Persists until goals are achieved and commitments are met.
  1. Holds self and associates accountable for goal achievement.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Demonstrates through personal behavior the commitment to high standards of performance.


Excellence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Takes a lot of pride in their work.
  1. Keeps themselves and others focused on constant improvement.
  1. Is planful and organized.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Can be counted on to add value wherever they are involved.


Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Promotes the understanding of how the department affects the organization overall.
  1. Builds alliances between departments and teams.
  1. Partners with peers to obtain influence within the Company.
  1. Maintains infrastructure to support partnerships and networks.
  1. Creates value within the Company by building networks.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Identifies and resolves conflicts within the team to increase team effectiveness
  1. Recognizes and respects the contributions and needs of each individual.
  1. Willingly share their technical expertise
  1. Is open to new ideas that may change own goals for benefit of the team
  1. Creates opportunities to learn with other team members


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Anticipates obstacles and ways to overcome them.
  1. Able to look ahead (beyond the present) when addressing the work/needs of the department.
  1. Makes plans and follows through.
  1. Able to identify the needs of the department before a major change.
  1. Anticipates potential challenges, develops plan to overcome them and then carries out the plan.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Can effectively deliver presentations to international clients.
  1. Forms strong client relationships with international partners.
  1. Applies knowledge of overseas markets.
  1. Considers customers point of view when making decisions.
  1. Sets the example for team on importance of cultural awareness.



  1. Overall, please rate the effectiveness of .






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for 's assessment.