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





360-Degree Assessment Survey

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)
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.

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 by .

Thank you for your participation in the survey.

Management Team



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Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Evaluates the long-term scalability, sustainability, and total cost of ownership of technology options.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Identifies misuse or risky practices and intervenes early to prevent issues.
  1. Implements automated code generation and testing.
  1. Engages frontline employees in diagnosing workflow issues, ensuring optimization efforts reflect real operational needs rather than assumptions.


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Inspires others to learn new things.
  1. Stays up-to-date on emerging technologies.
  1. Holds self and associates accountable for goal achievement.
  1. Takes initiative for own learning and development.


Excellence

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


Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Facilitates open and honest communication to build trust and mutual respect.
  1. Successfully identifies complementary and compatible strategic partners with colleagues in the industry.
  1. Identifies partnerships with overseas companies to expand market opportunities.
  1. Willingly participates on committees and project teams.
  1. Translates complex partnership dynamics into clear, accessible explanations so stakeholders understand the collaboration and how it functions.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Listens to other team members without interrupting them.
  1. Creates a culture that fosters and values collaboration.
  1. Supports open communication between team members.
  1. Expresses appreciation for the work of other team members.
  1. Encourages other team members to adopt new procedures.


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops an effective plan to guide the project.
  1. Regularly makes plans for contingencies.
  1. Develops plans to ensure the smooth operation of the supply chain.
  1. Determines what supplies/equipment will be needed for the department.
  1. Has plans to handle unexpected events.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Volunteers for experiences and assignments abroad.
  1. Addresses global supply chain issues.
  1. Identifies local innovations that could scale globally.
  1. Analyzes worldwide trends, regional dynamics, regulatory landscapes, and competitive forces.
  1. Aligns global supply-chain decisions with sustainability, ethical sourcing, and regulatory requirements in each region.



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






  2. Strengths


  3. Areas for Development


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