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

Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Applies complex rules and regulations to maintain optimal system performance.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Maximizes the use of new technology to deliver products and services.
Proficient in the use of technical systems and processes.
Uses technology in decision making and problem solving.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Holds self and associates accountable for goal achievement.
Is open to feedback from others.
Embraces new technology and procedures.
Takes advantage of training opportunities when they arise.
Inspires others to learn new things.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is planful and organized.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to reduce institutional roadblocks to information sharing.
Partners with peers to obtain influence within the Company.
Builds alliances between departments and teams.
Maintains infrastructure to support partnerships and networks.
Supports and encourages relationships that are created by diverse team members.
Teamwork	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds opportunities to recognize and reward team members.
Shares pertinent information with all members of the team.
Helps the team make effective business decisions by ensuring the correctness of Company's reports/resources.
Makes decisions that positively impact team performance.
Promotes open communication on the team.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Determines the amount of materials/supplies needed for the project.
Creates to-do lists to make sure nothing is missed.
Able to identify the needs of the department before a major change.
Adjusts and rearranges the schedule to maximize efficiency.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Applies knowledge of overseas markets.
Understands how cultures differ and how these differences impact work behavior.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Is aware of the culture, behaviors, identities and beliefs of others.
Is able to work with individuals having different backgrounds and cultures.

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.