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
Proficient in the use of technical systems and processes.
Understands and is committed to implementing new technologies.
Applies complex rules and regulations to maintain optimal system performance.
Maximizes the use of new technology to deliver products and services.
Adopts the implementation of new technology into the workplace.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes advantage of training opportunities when they arise.
Enhances value to the company through additional training and development.
Inspires others to learn new things.
Demonstrates a willingness to participate in continuing education courses.
Creates an environment that supports personal development and exploration.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Is planful and organized.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports and encourages relationships that are created by diverse team members.
Promotes the understanding of how the department affects the organization overall.
Creates value within the Company by building networks.
Partners with peers to obtain influence within the Company.
Seeks an understanding of diverse functions within the Company.
Teamwork	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates a clear message that teamwork and collaboration are expected.
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Effective team player
Identifies and resolves conflicts within the team to increase team effectiveness
Recognizes and respects the contributions and needs of each individual.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to identify the needs of the department before a major change.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Makes plans and follows through.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Anticipates obstacles and ways to overcome them.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Forms strong client relationships with international partners.
Exemplifies the skills of a global worker.
Analyzes global issues/problems that are having a large impact on the Company.
Is aware of the culture, behaviors, identities and beliefs of others.
Excellent communication skills to conduct effective business with individuals from different cultures and/or 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.