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)
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





Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Understands and is committed to implementing new technologies.
  1. Adopts the implementation of new technology into the workplace.
  1. Maximizes the use of new technology to deliver products and services.
  1. Uses technology in decision making and problem solving.
  1. Proficient in the use of technical systems and processes.


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Is committed to enhancing their own knowledge and skills.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Creates an environment that supports personal development and exploration.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.


Excellence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Demonstrates the analytical skills to do their job.
  1. Produces high quality work.
  1. Keeps themselves and others focused on constant improvement.
  1. Takes a lot of pride in their work.


Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Expands network of colleagues to include others who may contribute to the department's success.
  1. Seeks to increase exchanges of information with other companies/colleagues.
  1. Engages in partnerships that produce significant results.
  1. Seeks opportunities to collaborate across organizational boundaries.
  1. Actively listens to understand different perspectives and identify common interests.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Expresses appreciation for the work of other team members.
  1. Contributes to and supports team decision-making process
  1. Helps the team make effective business decisions by ensuring the correctness of Company's reports/resources.
  1. Makes sure each team member participates in the task.
  1. Fosters an environment that promotes active listening on the team.


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Effectively uses logistics planning to reduce supply delays.
  1. Develops plans used to accomplish urgent or critical tasks.
  1. Develops an effective plan to guide the project.
  1. Creates plans to handle complex, multi-faceted projects.
  1. Anticipates challenges and has plans to overcome them.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Communicates effectively on a multi-lingual basis.
  1. Sets the example for team on importance of cultural awareness.
  1. Has positive interactions with individuals from different cultures and backgrounds.
  1. Builds working relationships with others across cultures.



  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.