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

360-Degree Assessment Survey

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.

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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
Uses technology in decision making and problem solving.
Applies complex rules and regulations to maintain optimal system performance.
Supports technical training and development of employees.
Proficient in the use of technical systems and processes.
Understands and is committed to implementing new technologies.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Exhibits willingness to upgrade skills through additional training and education.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Is open to feedback from others.
Takes advantage of training opportunities when they arise.
Will participate in training classes even if offered outside of normal working hours.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes a lot of pride in their work.
Demonstrates the functional or technical skills necessary to do their job.
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports communication and collaboration with other leaders in the industry.
Establishes appropriate monitoring of activities in the network.
Shares and develops cutting-edge ideas with a network of colleagues, fostering a culture of innovation and continuous improvement.
Is aware of the location/availability of resources within the network.
Attends industry conferences and seminars to meet new contacts and learn from industry leaders.
Teamwork	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Listens to other team members without interrupting them.
Asks other team members to share their opinions.
Encourages other team members to adopt new procedures.
Helps the team decide what long term goals need to be met.
Makes decisions that support the team's goals and objectives.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Prioritizes plans based on a cost/benefit analysis.
Reduces uncertainty in the department through clear planning and schedules.
Determines the appropriate actions needed to achieve goals.
Accomplishes major tasks by breaking them into manageable pieces.
Creates a timeline to specify when each phase of the project should be concluded.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes global issues/problems that are having a large impact on the Company.
Is able to work with individuals having different backgrounds and cultures.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Facilitates open communication with individuals from other countries.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.