Technology Use/Management - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Technology Use/Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Understands and is committed to implementing new technologies.
Maximizes the use of new technology to deliver products and services.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Consistently keeps commitments.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Communicates an understanding of the other person's interests, needs and concerns.
Takes care to maintain confidential information.
Demonstrates a sense of responsibility and commitment to public trust.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Does not allow own emotions to interfere with the performance of others.
Consciously controls own negative emotions in order to keep team morale up.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is confident in the abilities of employees assigned important tasks.
Allows subordinates to perform mission critical tasks.
Encourages others to obtain necessary skills and training.
Empowers employees to structure their work hours to maximize their productivity.
Allows employees to participate in the workload of the department.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Cooperates with others on a global scale.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Analyzes global issues/problems that are having a large impact on the Company.
Understands global systems such as the global economy.
Able to listen and understand others and discuss issues in a respectful way.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

26. Strengths
    
    
    
27. Areas for Development
    
    
    
28. Please give any final comments or suggestions for [Participant Name Here]'s assessment.