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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)
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. Supports technical training and development of employees.
  1. Understands and is committed to implementing new technologies.
  1. Proficient in the use of technical systems and processes.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Adopts the implementation of new technology into the workplace.


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Enjoys learning new skills and techniques.
  1. Is open minded and curious about learning new skills.
  1. Inspires others to learn new things.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Will participate in training classes even if offered outside of normal working hours.


Excellence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is planful and organized.
  1. Produces high quality work.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Demonstrates the analytical skills to do their job.
  1. Takes a lot of pride in their work.


Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.
  1. Collaborates with others to accomplish goals and objectives.
  1. Supports a partnering/networking culture.
  1. Maintains infrastructure to support partnerships and networks.
  1. Supports and encourages relationships that are created by diverse team members.


Teamwork

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Comes across as a reliable, committed team member
  1. Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
  1. Encourages others to share ideas to develop team cohesion
  1. Provides assistance and support to other team members when needed
  1. Carries his/her share of the workload


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops proper plans to ensure seamless flow of materials through logistics.
  1. Ensures staff are held accountable for following the department plan.
  1. Understands what equipment will be needed for the project.
  1. Establishes and monitors timeframes and timelines.
  1. Understands what materials will be required to successfully implement the plan.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Applies knowledge of overseas markets.
  1. Creates an environment where individual differences are valued and supported.
  1. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. Sets the example for team on importance of cultural awareness.
  1. Forms strong client relationships with international partners.



  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.